Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03329 | Date 02/02/2019 |
| Token No | SM/19-20/3127 21/05/2019 | Serial | 075 Last Visit: 21/05/2019 |
| Patient Name | Mr. BASUDEB DAS | Contact No | 9051657349 |
| Address | 2 KOLONI,RAJJODHARPUR,SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||