Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 11449 | Date 17/08/2022 |
| Token No | SM/22-23/15808 17/08/2022 | Serial | 023 Last Visit: 17/08/2022 |
| Patient Name | Mr. SUBRATA DEBNATH | Contact No | 7003726928 |
| Address | 75/B SARKAR PARA SHIV TALA, BAIDYABTI(M) | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||