Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06087 | Date 08/08/2019 |
| Token No | SM/19-20/8160 08/08/2019 | Serial | 025 Last Visit: 08/08/2019 |
| Patient Name | Mr. JAYDAB SAHA | Contact No | 9239082777 |
| Address | 455/2 BIDHANPALLY,PEARARUR ROAD,BAIDYABATI(M) | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||