Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04428 | Date 27/03/2019 |
| Token No | SM/18-19/11376 27/03/2019 | Serial | 080 Last Visit: 01/04/2023 |
| Patient Name | Mr. SANJIT MAJHI | Contact No | 9088467299 |
| Address | 32/A CHATRA GODAR BAGAN , BAIDYABATI(M) | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||