Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09081 | Date 21/12/2020 |
| Token No | SM/20-21/28647 21/12/2020 | Serial | 040 Last Visit: 26/10/2024 |
| Patient Name | Mr. SUBHANKAR BOSE | Contact No | 9831575710 |
| Address | CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 25 Years,11 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||