Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07237 | Date 28/12/2019 |
| Token No | SM/20-21/30964 19/03/2021 | Serial | 073 Last Visit: 21/11/2025 |
| Patient Name | Mr. SWAPAN DAS | Contact No | 8013658369 |
| Address | 243/89/1 TELIPARA LANE CHATRA BAIDYABATI(M) | Age | 43 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||