Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05734 | Date 11/07/2019 |
| Token No | SM/19-20/6280 11/07/2019 | Serial | 030 Last Visit: 11/07/2019 |
| Patient Name | Mr. GANGA PRASAD DEY | Contact No | 9748617558 |
| Address | 54/23 PATI PARA , CHATRA, BAIDYABATI M | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||