Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07394 | Date 22/01/2020 |
| Token No | SM/19-20/17027 22/01/2020 | Serial | 008 Last Visit: 03/05/2025 |
| Patient Name | Mr. SUJOY AOUN | Contact No | 6291392624 |
| Address | 10/1 GODAR BAGAN CHATRA , BAIDYABATI(M) | Age | 25 Years,4 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||