Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03841 | Date 23/02/2019 |
| Token No | SM/20-21/30455 06/03/2021 | Serial | 012 Last Visit: 12/12/2023 |
| Patient Name | Mr. RAM NARAYAN CHOWDHURI | Contact No | 9088595706 |
| Address | CHATRA,BAGHER BAGAN,TELI PARA,BAIDYABATI(M) | Age | 75 Years,11 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||