Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05038 | Date 08/05/2019 |
| Token No | SM/19-20/3660 29/05/2019 | Serial | 027 Last Visit: 29/05/2019 |
| Patient Name | Mr. SUKDEV BADOPADHAYAY | Contact No | 9231936417 |
| Address | 14 CHATRA MUKHERJEE PARA , BAIDYABATI(M) | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||