Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04138 | Date 11/03/2019 |
| Token No | SM/19-20/14379 30/11/2019 | Serial | 053 Last Visit: 03/12/2025 |
| Patient Name | Mr. RATAN PAL | Contact No | 9143466951 |
| Address | CHATRA TETULTALA BAJAR , BAIDYABATI(M) | Age | 73 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||