Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04236 | Date 15/03/2019 |
| Token No | SM/19-20/7574 30/07/2019 | Serial | 023 Last Visit: 23/06/2021 |
| Patient Name | Mr. GANESH DAS | Contact No | 7044663836 |
| Address | 39B/92 CHATRA SACHTASHI PARA LANE , BAIDYABATI(M) | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||