Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00385 | Date 13/08/2018 |
| Token No | SM/19-20/3491 27/05/2019 | Serial | 047 Last Visit: 12/07/2025 |
| Patient Name | Mr. RUPAM BHOWMIK | Contact No | 9883194603 |
| Address | 281R/B GHOSHAL PARA , BAIDYABATI (M) | Age | 23 Years,10 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||