Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03685 | Date 19/02/2019 |
| Token No | SM/18-19/9398 25/02/2019 | Serial | 005 Last Visit: 14/06/2024 |
| Patient Name | Mr. LAKSHMI KANTA DAS | Contact No | 9239546125 |
| Address | 178/73/E/7 BAGER BAGAN CHATRA , BAIDYABATI (M) | Age | 64 Years,5 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||