Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08440 | Date 27/06/2020 |
| Token No | SM/19-20/23490 27/06/2020 | Serial | 018 Last Visit: 05/06/2024 |
| Patient Name | Mr. IBRAHIM ANSARI | Contact No | 7685001718 |
| Address | PAMPA NAGAR G T ROAD BAIDYABATI(M) | Age | 55 Years,5 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||