Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07928 | Date 25/03/2020 |
| Token No | SM/19-20/20284 25/03/2020 | Serial | 040 Last Visit: 25/03/2020 |
| Patient Name | Mr. AVIISEKH PARUL | Contact No | |
| Address | 25/2 D. N. MUKHERJEE ROAD,BAIDYABATI(M) | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 98 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||