Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02864 | Date 07/01/2019 |
| Token No | SM/19-20/22410 22/05/2020 | Serial | 020 Last Visit: 15/06/2023 |
| Patient Name | Mr. TAPAS KUMAR BELEL | Contact No | 9674676972 |
| Address | K.C MUKHERJEE STREET CHATRA , BAIDYABATI(M) | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||