Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08667 | Date 25/08/2020 |
| Token No | SM/19-20/25179 25/08/2020 | Serial | 059 Last Visit: 25/08/2020 |
| Patient Name | Mr. DINOBONDHU BISWASH | Contact No | 7890956704 |
| Address | CHATRA MUKHERJEE PARA,BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||