Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08094 | Date 16/04/2020 |
| Token No | SM/19-20/21385 20/04/2020 | Serial | 060 Last Visit: 20/04/2020 |
| Patient Name | Mr. BADAL MAL | Contact No | 8276843023 |
| Address | TELI PARA BAGHER BAGAN,BAIDYABATI(M) | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||