Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00690 | Date 25/08/2018 |
| Token No | SM/20-21/30670 13/03/2021 | Serial | 009 Last Visit: 19/11/2025 |
| Patient Name | Mr. MAHADEB ROY | Contact No | 8420133790 |
| Address | CHATRA MANNA PARA, BAIDYABATI(M) | Age | 47 Years,10 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||