Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09752 | Date 25/06/2021 |
| Token No | SM/21-22/2772 02/07/2021 | Serial | 045 Last Visit: 01/10/2024 |
| Patient Name | Mr. SWAPAN NAYEK | Contact No | 9330947595 |
| Address | HARIJAN PALLY 78 G T ROAD, BAIDYABATI | Age | 37 Years,9 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||