Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06075 | Date 07/08/2019 |
| Token No | SM/19-20/8059 07/08/2019 | Serial | 002 Last Visit: 07/08/2019 |
| Patient Name | Mr. CHIRANJEEB KUNDU | Contact No | 8478875957 |
| Address | 25/1 GOLA PARA LANE , BAIDYABATI(M) | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||