Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07506 | Date 10/02/2020 |
| Token No | SM/20-21/27301 09/11/2020 | Serial | 006 Last Visit: 14/12/2020 |
| Patient Name | Mr. BASUDEB MONDDAL | Contact No | 8334884869 |
| Address | 5/C LAHIRI PARA LANE, | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||