Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06227 | Date 26/08/2019 |
| Token No | SM/19-20/9182 26/08/2019 | Serial | 098 Last Visit: 03/03/2025 |
| Patient Name | Mr. SWAPAN SHIL | Contact No | 9433747479 |
| Address | NABOGRAM VIVEKANAND SARANI, BAIDYABATI(M) | Age | 50 Years,2 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||