Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 01408 | Date 28/09/2018 |
| Token No | SM/19-20/20281 25/03/2020 | Serial | 037 Last Visit: 25/03/2020 |
| Patient Name | Mr. ABHIJIT DAS | Contact No | 8013682254 |
| Address | CHATRA MUKHERJEE PARA LANE , BAIDYABATI(M) | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||