Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03282 | Date 01/02/2019 |
| Token No | SM/21-22/2721 30/06/2021 | Serial | 027 Last Visit: 02/05/2024 |
| Patient Name | Mr. LAKHIKANTA BERA | Contact No | 7890235924 |
| Address | 1/C/A D N MUKHERJEE ROAD,BAIDYABATY(M) | Age | 57 Years,4 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||