Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09370 | Date 19/03/2021 |
| Token No | SM/20-21/30966 19/03/2021 | Serial | 075 Last Visit: 21/04/2023 |
| Patient Name | Mr. PARAN CHANDRA SEAL | Contact No | 9674249138 |
| Address | G T ROAD PAMPANAGAR BAIDYABATI | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||