Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04578 | Date 05/04/2019 |
| Token No | SM/22-23/16878 19/09/2022 | Serial | 028 Last Visit: 04/09/2024 |
| Patient Name | Mr. SAMAR KUMAR DAS | Contact No | 9432000596 |
| Address | 34/A R N C LEHIRI STREET | Age | 62 Years,8 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||