Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07558 | Date 17/02/2020 |
| Token No | SM/19-20/18189 17/02/2020 | Serial | 013 Last Visit: 28/04/2025 |
| Patient Name | Mr. PARIMAL SARKAR | Contact No | 9088548782 |
| Address | 175(205A) TELIPARA BAGERBAGAN , BAIDYABATI(M) | Age | 52 Years,3 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||