Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04639 | Date 09/04/2019 |
| Token No | SM/19-20/569 09/04/2019 | Serial | 023 Last Visit: 09/04/2019 |
| Patient Name | Mr. SANJU DAS | Contact No | 9804280754 |
| Address | 39 /25 CHATRA POTI PARA,BAIDYABATI(M) | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||