Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07878 | Date 21/03/2020 |
| Token No | SM/19-20/20885 08/04/2020 | Serial | 009 Last Visit: 27/02/2024 |
| Patient Name | Mr. SUBRATA ROY | Contact No | 9748363534 |
| Address | 205 G.T ROAD , BAIDYABATI(M) | Age | 49 Years,1 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||