Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05260 | Date 28/05/2019 |
| Token No | SM/19-20/7560 30/07/2019 | Serial | 009 Last Visit: 13/03/2020 |
| Patient Name | Mr. RABINDRA NATH DEY | Contact No | 9088164721 |
| Address | 53/25 CHATRA PATI PARA, BAIDYABATI(M) | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||