Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03027 | Date 16/01/2019 |
| Token No | SM/19-20/1123 18/04/2019 | Serial | 036 Last Visit: 06/03/2024 |
| Patient Name | Mr. ASIT DAS | Contact No | 7449775277 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 63 Years,2 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||