Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10047 | Date 06/09/2021 |
| Token No | SM/21-22/4773 06/09/2021 | Serial | 005 Last Visit: 29/01/2025 |
| Patient Name | Mr. LOKNATH MUKHOPADHYAY | Contact No | |
| Address | 19 KALITALA LANE,BAIDYABATI(M) | Age | 52 Years,0 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||