Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06582 | Date 30/09/2019 |
| Token No | SM/19-20/11328 30/09/2019 | Serial | 001 Last Visit: 11/04/2023 |
| Patient Name | Mr. SANAT PAL | Contact No | 9831887680 |
| Address | HARIJON ROAD,CHATRA SHITALA TALA, BAIDYABATI(M) | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||