Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07100 | Date 07/12/2019 |
| Token No | SM/19-20/14837 07/12/2019 | Serial | 004 Last Visit: 21/11/2024 |
| Patient Name | Mr. UTTAM DEBNATH | Contact No | 8420128164 |
| Address | 107/F/D/B G.T ROAD , BAIDYABATI(M) | Age | 55 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||