Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05533 | Date 24/06/2019 |
| Token No | SM/19-20/5144 24/06/2019 | Serial | 010 Last Visit: 08/07/2019 |
| Patient Name | Mr. DEBASIS BISWAS | Contact No | 8420765682 |
| Address | UTTER MONDAL PARA,SIMLA,MALLICK PARA | Age | 29 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||