Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09421 | Date 03/04/2021 |
| Token No | SM/21-22/6440 30/10/2021 | Serial | 009 Last Visit: 23/05/2025 |
| Patient Name | Mr. BHOLANATH BAG | Contact No | 9339058759 |
| Address | 23,SATCHASI PARA,BAIDYABATI | Age | 66 Years,4 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||