Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08756 | Date 19/09/2020 |
| Token No | SM/20-21/25832 19/09/2020 | Serial | 009 Last Visit: 19/09/2020 |
| Patient Name | Mr. BAIDYANATH PARAMANIK | Contact No | 9163036162 |
| Address | 9/3 GODAR BAGAN LANE,BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||