Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06939 | Date 21/11/2019 |
| Token No | SM/19-20/13835 23/11/2019 | Serial | 030 Last Visit: 26/05/2023 |
| Patient Name | Mr. PRADIP NATH | Contact No | 8981171610 |
| Address | 42/6 CHATRA BOWBAZAR, BAIDYABATI(M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||