Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00467 | Date 16/08/2018 |
| Token No | SM/19-20/12399 25/10/2019 | Serial | 015 Last Visit: 23/04/2021 |
| Patient Name | Mr. RANJIT BISWAS | Contact No | 8961497021 |
| Address | CHATRA BAGER BAGAN, BAIDYABATI(M) | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||