Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07858 | Date 19/03/2020 |
| Token No | SM/19-20/19948 19/03/2020 | Serial | 051 Last Visit: 19/03/2020 |
| Patient Name | Mr. SRINJOY SENAPATI | Contact No | 9330046128 |
| Address | 49/1/133 MUKHERJEE PARA HARISABHA CAHTRA , BAIDYABATI(M) | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||