Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02473 | Date 12/12/2018 |
| Token No | SM/18-19/5089 12/12/2018 | Serial | 003 Last Visit: 09/12/2024 |
| Patient Name | Mr. RANJIT RAM | Contact No | 9515552776 |
| Address | CHATRA BOU BAZAR, BAIDYABATI M | Age | 73 Years,11 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | 160/80 / min | Height | cm BMI: inf |
| Diagnosis | |||