Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06236 | Date 27/08/2019 |
| Token No | SM/19-20/9215 27/08/2019 | Serial | 023 Last Visit: 07/08/2024 |
| Patient Name | Mr. BIVAS SARKAR | Contact No | 8017569932 |
| Address | 3/2 KC MUKHERJEE STREET CHATRA SHITLATALA , BAIDYABATI(M) | Age | 45 Years,7 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||