Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03405 | Date 06/02/2019 |
| Token No | SM/18-19/8136 06/02/2019 | Serial | 030 Last Visit: 11/01/2024 |
| Patient Name | Mr. PRASENJIT MANDOL | Contact No | 8584986942 |
| Address | CHATRA,HARI SOVHA,BAIDYABATI(M) | Age | 37 Years,0 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||