Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05569 | Date 25/06/2019 |
| Token No | SM/19-20/5306 25/06/2019 | Serial | 062 Last Visit: 25/06/2019 |
| Patient Name | Mr. SUDAM BHOWMIK | Contact No | 9088379388 |
| Address | BHATCHARJEE GARDEN DAS PARA , BAIDYABATI(M) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||