Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08499 | Date 07/07/2020 |
| Token No | SM/19-20/23872 07/07/2020 | Serial | 037 Last Visit: 07/07/2020 |
| Patient Name | Mr. SHYAMAL DAS | Contact No | 9073441255 |
| Address | S.S. BOSE SARANI,BAIDYABATI CHAK POST | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||