Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 01874 | Date 03/11/2018 |
| Token No | SM/18-19/4901 08/12/2018 | Serial | 028 Last Visit: 25/05/2024 |
| Patient Name | Mr. SWAPAN GHARA | Contact No | 8420658386 |
| Address | CHATRA MUKHARJEE PARA,BAIDAYBATI(M) | Age | 62 Years,4 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||