Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04736 | Date 17/04/2019 |
| Token No | SM/19-20/1037 17/04/2019 | Serial | 044 Last Visit: 11/09/2025 |
| Patient Name | Mr. ASHU BISWAS | Contact No | 7439364150 |
| Address | KHAR PARA KALI TALA LANE , BAIDYABATI(M) | Age | 21 Years,10 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||