Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01868 | Date 02/11/2018 |
| Token No | SM/19-20/9821 05/09/2019 | Serial | 021 Last Visit: 22/07/2023 |
| Patient Name | Mr. BHASKAR SAHA | Contact No | 9051912771 |
| Address | 19/F VIVEKANAND LANE | Age | 60 Years,6 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||