Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09571 | Date 03/05/2021 |
| Token No | SM/21-22/1781 29/05/2021 | Serial | 020 Last Visit: 03/07/2021 |
| Patient Name | Mr. MADHUSUDAN MALIK | Contact No | 9231091580 |
| Address | BAGER BAGAN G.T ROAD BAIDHYABATI | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||