Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04148 | Date 11/03/2019 |
| Token No | SM/19-20/1372 22/04/2019 | Serial | 087 Last Visit: 07/09/2024 |
| Patient Name | Mr. GOPAL BAIDYA | Contact No | 9674175417 |
| Address | 78 BAGHER BAGAN TELIPARA BAIDYABATI (M) | Age | 63 Years,10 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||