Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05887 | Date 22/07/2019 |
| Token No | SM/19-20/7018 22/07/2019 | Serial | 036 Last Visit: 21/07/2025 |
| Patient Name | Mr. KALIPADA BERA | Contact No | 9804878456 |
| Address | 58/41/1, MUKHERJEE PARA , BAIDYABATI(M) | Age | 60 Years,6 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||