Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05313 | Date 01/06/2019 |
| Token No | SM/19-20/3833 01/06/2019 | Serial | 034 Last Visit: 04/12/2020 |
| Patient Name | Mr. BIKRAM DAS | Contact No | 8013242328 |
| Address | 16/B CHAWK BAGDIPARA , BAIDYABATI(M) | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||