Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05161 | Date 20/05/2019 |
| Token No | SM/21-22/2508 24/06/2021 | Serial | 009 Last Visit: 27/07/2023 |
| Patient Name | Mr. CHANCHAL DEY | Contact No | 7278987030 |
| Address | CHATRA BAGER BAGAN, BAIDYABATI(M) | Age | 60 Years,6 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||