Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07903 | Date 24/03/2020 |
| Token No | SM/19-20/20542 31/03/2020 | Serial | 012 Last Visit: 31/03/2020 |
| Patient Name | Mr. JAYANTA PARUI | Contact No | 7686890680 |
| Address | 25/2 D. N. MUKHERJEE ROAD,BAIDYABATII(M) | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||