Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04016 | Date 05/03/2019 |
| Token No | SM/18-19/9891 05/03/2019 | Serial | 092 Last Visit: 30/05/2024 |
| Patient Name | Mr. SOUMITRA PAL | Contact No | 9681107803 |
| Address | CHATRA BOU BAJAR ,BAIDYABATI(M) | Age | 53 Years,4 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||