Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03557 | Date 13/02/2019 |
| Token No | SM/18-19/8607 13/02/2019 | Serial | 074 Last Visit: 05/06/2025 |
| Patient Name | Mr. SUBRATA PATRA | Contact No | |
| Address | CHATRA MANNA PARA,BAIDYABATI(M) | Age | 53 Years,5 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||