Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07051 | Date 03/12/2019 |
| Token No | SM/19-20/23147 16/06/2020 | Serial | 018 Last Visit: 16/06/2020 |
| Patient Name | Mr. MD BASIR MIYAN | Contact No | 7549334527 |
| Address | 227, S.C.M ROAD , BAIDYABATI(M) | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||