Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05425 | Date 14/06/2019 |
| Token No | SM/22-23/14907 22/07/2022 | Serial | 032 Last Visit: 26/07/2023 |
| Patient Name | Mr. SUBHAJIT MAJHI | Contact No | 7044352606 |
| Address | 40/8 CHATRA,GODAR BAGAN BY LANE,BAIDYABATI(M) | Age | 16 Years,6 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||