Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08990 | Date 24/11/2020 |
| Token No | SM/20-21/27916 01/12/2020 | Serial | 018 Last Visit: 22/02/2024 |
| Patient Name | Mr. LAKSHMAN SHAW | Contact No | 8013504463 |
| Address | 2 DAKSHIN BHATTCHARYA PARA, BAIDYABATI(M) | Age | 74 Years,1 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||