Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04546 | Date 04/04/2019 |
| Token No | SM/19-20/4235 10/06/2019 | Serial | 017 Last Visit: 27/12/2019 |
| Patient Name | Mr. BECHARAM BISWAS | Contact No | 9836512358 |
| Address | 73/1 CHATRA LANKER BAGAN,BAIDYABATI(M) | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||