Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05567 | Date 25/06/2019 |
| Token No | SM/21-22/5437 24/09/2021 | Serial | 032 Last Visit: 11/09/2024 |
| Patient Name | Mr. SHOUBHIK BELEL | Contact No | 9681065536 |
| Address | 117 SATCHASHI PARA LANE BAIDYABATI(M) | Age | 18 Years,4 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||