Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07720 | Date 06/03/2020 |
| Token No | SM/19-20/19205 06/03/2020 | Serial | 030 Last Visit: 12/08/2023 |
| Patient Name | Mr. MANTU BELEL | Contact No | 9088877202 |
| Address | 117 SATCHASI PARA SERAMPORE, BAIDYABATI(M) | Age | 42 Years,7 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||