Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06944 | Date 21/11/2019 |
| Token No | SM/19-20/23514 29/06/2020 | Serial | 022 Last Visit: 19/09/2020 |
| Patient Name | Mr. RAJKUMAR PRAMANIK | Contact No | 9330241681 |
| Address | 9/3 GODAR BAGAN LANE , BAIDYABATI(M) | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||