Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04316 | Date 20/03/2019 |
| Token No | SM/18-19/10935 20/03/2019 | Serial | 040 Last Visit: 07/09/2023 |
| Patient Name | Mr. BHAKTI MAJHI | Contact No | 9007147960 |
| Address | 51C/4 BARA BAGAN PALER MATH SEARMPORE | Age | 40 Years,8 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||