Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07883 | Date 21/03/2020 |
| Token No | SM/19-20/20081 21/03/2020 | Serial | 037 Last Visit: 25/04/2023 |
| Patient Name | Mr. GOPINATH PAL | Contact No | 9051479459 |
| Address | 146 G. T. ROAD BOWBAZAR,BAIDYABATI(M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||