Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02087 | Date 22/11/2018 |
| Token No | SM/19-20/10228 12/09/2019 | Serial | 046 Last Visit: 27/02/2025 |
| Patient Name | Mr. JAYANTO PRAMANICK | Contact No | 9830289833 |
| Address | CHATRA TETUL TALA GT ROAD | Age | 52 Years,7 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||