Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03881 | Date 26/02/2019 |
| Token No | SM/18-19/9503 26/02/2019 | Serial | 056 Last Visit: 29/10/2025 |
| Patient Name | Mr. TAPAN PAL | Contact No | 8961646104 |
| Address | 39/A (97) G T ROAD CHATRA TETUL TALA,BAIDYABATI(M) | Age | 66 Years,4 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||