Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04996 | Date 02/05/2019 |
| Token No | SM/19-20/2075 02/05/2019 | Serial | 046 Last Visit: 16/03/2021 |
| Patient Name | Mr. BARENDRA NATH DAS | Contact No | 8017285654 |
| Address | 58 (137) SATCHASI PARA CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||