Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05947 | Date 25/07/2019 |
| Token No | SM/19-20/7268 25/07/2019 | Serial | 021 Last Visit: 09/09/2019 |
| Patient Name | Mr. SURAJIT DAS | Contact No | 9088609969 |
| Address | 52/19 SATCHASI PARA CHATRA , BAIDYABATI(M) | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 74.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||