Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05244 | Date 27/05/2019 |
| Token No | SM/19-20/4388 11/06/2019 | Serial | 064 Last Visit: 19/11/2025 |
| Patient Name | Mr. SWAPAN KUNDU | Contact No | 9051028369 |
| Address | 24/2/A GOLA PARA BOWBAZAR CHATRA , BAIDYABATI(M) | Age | 54 Years,10 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||