Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06009 | Date 30/07/2019 |
| Token No | SM/19-20/8508 16/08/2019 | Serial | 091 Last Visit: 16/04/2020 |
| Patient Name | Mr. TARAK NANDI | Contact No | 9230850326 |
| Address | 44 D.N MUKHERJEE ROAD , BAIDYABATI(M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||