Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01828 | Date 01/11/2018 |
| Token No | SM/18-19/5710 24/12/2018 | Serial | 033 Last Visit: 05/02/2025 |
| Patient Name | Mr. ANJAN KR. SOM | Contact No | 9830487795 |
| Address | CHATRA SHITLATALA , BAIDYABATI (M) | Age | 72 Years,1 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 83.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||