Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03872 | Date 26/02/2019 |
| Token No | SM/19-20/15734 21/12/2019 | Serial | 042 Last Visit: 04/04/2022 |
| Patient Name | Mr. PRADIP SARKAR | Contact No | 9163120630 |
| Address | 66/2, TELIPARA LANE CHATRA , BAIDYABATI(M) | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||