Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 08921 | Date 31/10/2020 |
| Token No | SM/21-22/4239 21/08/2021 | Serial | 020 Last Visit: 02/07/2025 |
| Patient Name | Mr. ANIT KUMAR CHOWDHURY | Contact No | 9674948730 |
| Address | 83/413 PEYARAPUR ROAD CHATRA BAGAN BAIDYABATI (M) | Age | 56 Years,6 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||