Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08171 | Date 29/04/2020 |
| Token No | SM/20-21/26003 24/09/2020 | Serial | 033 Last Visit: 07/09/2022 |
| Patient Name | Mr. RAJENDRA MALI | Contact No | 6291612408 |
| Address | 18 S C M ROAD , MALI BARI , CHAMPDANI ,BAIDYABATI(M) | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||