Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04211 | Date 15/03/2019 |
| Token No | SM/19-20/25603 10/09/2020 | Serial | 041 Last Visit: 10/09/2020 |
| Patient Name | Mr. INDROJIT MAJHI | Contact No | 8420962913 |
| Address | 362/A GT ROAD PAN PARA CHATRA , BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||