Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04947 | Date 27/04/2019 |
| Token No | SM/21-22/6647 08/11/2021 | Serial | 042 Last Visit: 29/11/2025 |
| Patient Name | Mr. NILIP KOLEY | Contact No | 8240871787 |
| Address | CHATRA BOWBAZAR BAIDYABATI((M) CHATRA HOOGHLY | Age | 73 Years,3 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||