Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04243 | Date 16/03/2019 |
| Token No | SM/18-19/10620 16/03/2019 | Serial | 002 Last Visit: 13/01/2024 |
| Patient Name | Mr. SUROJIT PAL | Contact No | 9143466951 |
| Address | 32(20) CHATRA TETULTALA BAJAR , BAIDYABATI(M) | Age | 36 Years,0 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||