Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04795 | Date 22/04/2019 |
| Token No | SM/19-20/8581 19/08/2019 | Serial | 035 Last Visit: 15/10/2025 |
| Patient Name | Mr. RAGHUNATH KUNDU | Contact No | 8100676415 |
| Address | 149, CHATRA TETUL BAZAR , BAIDYABATI(M) | Age | 70 Years,10 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||