Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04774 | Date 20/04/2019 |
| Token No | SM/19-20/21517 24/04/2020 | Serial | 009 Last Visit: 05/07/2023 |
| Patient Name | Mr. GOLAKBEHARI BHATTACHARJEE | Contact No | 8272930522 |
| Address | 6 GURUDAS BHATTCHARJEE LANE BAIDYABATI (M) | Age | 77 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||