Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04169 | Date 11/03/2019 |
| Token No | SM/19-20/20404 27/03/2020 | Serial | 052 Last Visit: 19/11/2025 |
| Patient Name | Mr. NIRMAL DUTTA | Contact No | 9239163404 |
| Address | CHATRA SHITLATALA , BAIDYABATI(M) | Age | 50 Years,10 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||