Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03357 | Date 04/02/2019 |
| Token No | SM/21-22/10098 21/02/2022 | Serial | 046 Last Visit: 24/12/2024 |
| Patient Name | Mr. SAPAN KR. DEY | Contact No | 9339324932 |
| Address | 41/7 MANIK GHOSHER BAGAN,CHATRA.BAIDYABATI(M) | Age | 66 Years,11 Months,22 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||