Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06729 | Date 22/10/2019 |
| Token No | SM/19-20/19190 06/03/2020 | Serial | 015 Last Visit: 03/05/2024 |
| Patient Name | Mr. GHURAN DAS | Contact No | |
| Address | 19 BARO BAGAN , BAIDYABATI(M) | Age | 56 Years,4 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||