Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04692 | Date 12/04/2019 |
| Token No | SM/19-20/13122 13/11/2019 | Serial | 049 Last Visit: 23/07/2024 |
| Patient Name | Mr. ASHOK DUTTA | Contact No | 8479895898 |
| Address | CHATRA SHITLATALA , BAIDYABATI(M) | Age | 53 Years,6 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||