Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03625 | Date 18/02/2019 |
| Token No | SM/20-21/27652 23/11/2020 | Serial | 020 Last Visit: 31/05/2025 |
| Patient Name | Mr. PRADIP DUTTA | Contact No | 9830323667 |
| Address | CHATRA SHITLATALA , BAIDYABATI(M) | Age | 60 Years,4 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||