Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05861 | Date 20/07/2019 |
| Token No | SM/19-20/6907 20/07/2019 | Serial | 010 Last Visit: 01/08/2019 |
| Patient Name | Mr. SK ABU | Contact No | 9051602173 |
| Address | 64/C KAZIPARA,BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||