Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06866 | Date 14/11/2019 |
| Token No | SM/19-20/13266 14/11/2019 | Serial | 093 Last Visit: 18/12/2025 |
| Patient Name | Mr. DEBENDRA NATH | Contact No | 9674452084 |
| Address | 421/6, G.T ROAD, CHATRA SERAMPORE, BAIDYABATI(M) | Age | 59 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/90 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||