Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06986 | Date 25/11/2019 |
| Token No | SM/19-20/13964 25/11/2019 | Serial | 073 Last Visit: 03/01/2023 |
| Patient Name | Mr. DIBYENDU BHUIYA | Contact No | 8481859006 |
| Address | 512(333) G T ROAD CHATRA SERAMPORE , BAIDYABATI(M) | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||