Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03184 | Date 25/01/2019 |
| Token No | SM/19-20/747 11/04/2019 | Serial | 054 Last Visit: 11/04/2019 |
| Patient Name | Mr. NAREN PAL | Contact No | 9051316510 |
| Address | KHAR PARA KALI TALA LANE , BAIDYABATI (M) | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||