Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04850 | Date 23/04/2019 |
| Token No | SM/19-20/1446 23/04/2019 | Serial | 027 Last Visit: 23/09/2022 |
| Patient Name | Mr. SAMIR MISHRA | Contact No | 9163120953 |
| Address | 11/ M.G ROAD, MANIK GHOSER BAGAN, BAIDYABATI(M) | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||