Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06936 | Date 21/11/2019 |
| Token No | SM/21-22/8744 10/01/2022 | Serial | 026 Last Visit: 30/09/2024 |
| Patient Name | Mr. SUKANTA DUTTA | Contact No | 9830339711 |
| Address | 75/39J G.T ROAD CHATRA TENTULTALA, BAIDYABATI(M) | Age | 47 Years,8 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||