Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09003 | Date 27/11/2020 |
| Token No | SM/20-21/27884 27/11/2020 | Serial | 040 Last Visit: 27/11/2020 |
| Patient Name | Mr. BALADEB BANERJEE | Contact No | 9163038060 |
| Address | 14 MUKHERJEE PARA , BAIDYABATI(M) | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||