Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09967 | Date 21/08/2021 |
| Token No | SM/21-22/4248 21/08/2021 | Serial | 029 Last Visit: 29/01/2024 |
| Patient Name | Mr. SANDIP KUNDU | Contact No | 8240311779 |
| Address | 57/D/A G. T. ROAD,CHATRA,BAIDYABATI(M) | Age | 29 Years,2 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||