Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05597 | Date 27/06/2019 |
| Token No | SM/19-20/5466 27/06/2019 | Serial | 049 Last Visit: 27/06/2019 |
| Patient Name | Mr. DHARAMBIR THAKUR | Contact No | 9062909250 |
| Address | BAGER BAGAN,CHATRA,BAIDYABATI(M) | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||