Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04233 | Date 15/03/2019 |
| Token No | SM/19-20/9391 29/08/2019 | Serial | 032 Last Visit: 10/07/2020 |
| Patient Name | Mr. SUDIP MONDAL | Contact No | 9830835062 |
| Address | SHEWRAPHULI CHATUGANG,BAIDYABATI (M) | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||