Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06313 | Date 02/09/2019 |
| Token No | SM/19-20/9668 02/09/2019 | Serial | 063 Last Visit: 15/11/2019 |
| Patient Name | Mr. BADAL CHANDRA DAS | Contact No | 8013865851 |
| Address | 36 CHATRA DAS PARA HARIJAN ROAD, BAIDYABATI(M) | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||