Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08159 | Date 27/04/2020 |
| Token No | SM/19-20/21643 27/04/2020 | Serial | 070 Last Visit: 09/08/2023 |
| Patient Name | Mr. PINTU DAS | Contact No | 6291837664 |
| Address | 149B G. T ROAD CHATRA BAIDYABATI(M) | Age | 48 Years,7 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||