Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02815 | Date 04/01/2019 |
| Token No | SM/19-20/10096 11/09/2019 | Serial | 003 Last Visit: 20/07/2023 |
| Patient Name | Mr. SHANKAR NAYAK | Contact No | 7439493351 |
| Address | 5, K.M BHATTCHARJEE STREET | Age | 40 Years,6 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||