Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02345 | Date 05/12/2018 |
| Token No | SM/18-19/4691 05/12/2018 | Serial | 015 Last Visit: 08/11/2025 |
| Patient Name | Mr. RAJIV PRAMANIK | Contact No | 8017333729 |
| Address | CHATARA SHITLATALA , BAIDYABATI(M) | Age | 25 Years,10 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||