Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08487 | Date 06/07/2020 |
| Token No | SM/19-20/23797 06/07/2020 | Serial | 039 Last Visit: 06/07/2020 |
| Patient Name | Mr. DULAL CHANDRA RUIDAS | Contact No | |
| Address | 41 HARIJAN ROAD , BAIDYABATI(M) | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||