Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03525 | Date 12/02/2019 |
| Token No | SM/19-20/10944 23/09/2019 | Serial | 071 Last Visit: 07/07/2025 |
| Patient Name | Mr. BIKRAM NAYAK | Contact No | 7003131791 |
| Address | 11/G/A G T ROAD,MANIK GHOSH ER BAGAN,BAIDYABATY(M) | Age | 40 Years,6 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||