Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08098 | Date 17/04/2020 |
| Token No | SM/19-20/21375 20/04/2020 | Serial | 050 Last Visit: 20/04/2020 |
| Patient Name | Mr. RAMAPADA CHATTAPADHYA | Contact No | 8420721615 |
| Address | 4 SADGOPE PARA LANE,MAHESH | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||