Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06024 | Date 01/08/2019 |
| Token No | SM/19-20/7983 06/08/2019 | Serial | 004 Last Visit: 06/08/2019 |
| Patient Name | Mr. SUKUMAR DAS | Contact No | 8013303545 |
| Address | 42 SACHTASHI PARA LANE , BAIDYBATI(M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||