Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03910 | Date 28/02/2019 |
| Token No | SM/21-22/3350 22/07/2021 | Serial | 027 Last Visit: 19/02/2025 |
| Patient Name | Mr. MOHAN HALDER | Contact No | 8017389491 |
| Address | BAGHER BAGAN TELI PARA,BAIDYABATI(M) | Age | 52 Years,2 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||