Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06728 | Date 22/10/2019 |
| Token No | SM/19-20/12223 22/10/2019 | Serial | 046 Last Visit: 20/01/2025 |
| Patient Name | Mr. SHIBNATH POLEY | Contact No | 6289523855 |
| Address | 43/1/C CHATRA MUKHERJEE PARA HARI SABHA (GHORA PARA ), BAIDYABATI(M) | Age | 76 Years,6 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||