Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01407 | Date 28/09/2018 |
| Token No | SM/18-19/2211 28/09/2018 | Serial | 040 Last Visit: 17/02/2025 |
| Patient Name | Mr. GOPAL BAG | Contact No | 9051495694 |
| Address | 31/A DAKSHIN BHATCHARJEE PARA , BAIDYABATI (M) | Age | 53 Years,1 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||