Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06681 | Date 18/10/2019 |
| Token No | SM/19-20/20234 24/03/2020 | Serial | 055 Last Visit: 06/03/2024 |
| Patient Name | Mr. GOPAL RUIDAS | Contact No | 9330111360 |
| Address | 35 HARIJAN ROAD , BAIDYABATI(M) | Age | 22 Years,10 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||