Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05147 | Date 17/05/2019 |
| Token No | SM/20-21/29799 27/01/2021 | Serial | 023 Last Visit: 16/10/2025 |
| Patient Name | Mr. ARNAB DUTTA | Contact No | 9830323667 |
| Address | 34A CHATRA SHITLATALA TALA ROAD , BAIDYABATI (M) | Age | 14 Years,9 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||