Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02235 | Date 30/11/2018 |
| Token No | SM/21-22/5182 17/09/2021 | Serial | 005 Last Visit: 17/12/2025 |
| Patient Name | Mr. TAPAN SETH | Contact No | 9874759569 |
| Address | 470 (309), G T ROAD CHATRA BOWBAZAR, BAIDYABATI (M) | Age | 73 Years,11 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||