Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08295 | Date 30/05/2020 |
| Token No | SM/19-20/22611 30/05/2020 | Serial | 027 Last Visit: 11/12/2024 |
| Patient Name | Mr. SURENDRA KUMAR MISHRA | Contact No | 8240831977 |
| Address | 16/5 BARO BAGAN LANE SHIBTALA | Age | 37 Years,11 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||