Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03573 | Date 14/02/2019 |
| Token No | SM/19-20/14668 04/12/2019 | Serial | 054 Last Visit: 09/05/2025 |
| Patient Name | Mr. DEBASISH CHATERJEE | Contact No | 9800900862 |
| Address | CHATRA GODAR BAGAN , BAIDYABATI(M) | Age | 61 Years,4 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||