Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09183 | Date 18/01/2021 |
| Token No | SM/20-21/29961 01/02/2021 | Serial | 025 Last Visit: 21/02/2025 |
| Patient Name | Mr. BHOLANATH KHENTE | Contact No | 9051711149 |
| Address | 19,GODAR BAGAN BAIDYABATI M | Age | 60 Years,1 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||