Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06353 | Date 07/09/2019 |
| Token No | SM/20-21/25834 19/09/2020 | Serial | 011 Last Visit: 21/04/2025 |
| Patient Name | Mr. HARU BAG | Contact No | 8582880322 |
| Address | 49 CHATRA SHITLATALA BELAN PARA , BAIDYABATI(M) | Age | 65 Years,3 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||