Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11021 | Date 18/05/2022 |
| Token No | SM/22-23/12607 18/05/2022 | Serial | 046 Last Visit: 18/05/2022 |
| Patient Name | Mr. SWAPAN NATH | Contact No | 7003727125 |
| Address | 266/55 TELIPARA LANE CHATRA BAIDYABATI (M) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||