Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10591 | Date 20/01/2022 |
| Token No | SM/21-22/9412 28/01/2022 | Serial | 029 Last Visit: 28/01/2022 |
| Patient Name | Mr. MRITYUNJOY DEBNATH | Contact No | |
| Address | BAGER BAGAN CHATRA | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||