Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10034 | Date 03/09/2021 |
| Token No | SM/22-23/19350 30/12/2022 | Serial | 005 Last Visit: 20/01/2023 |
| Patient Name | Mr. UTTAM DEBNATH | Contact No | 8320128164 |
| Address | 107/F/D/B G.T ROAD BAIDHYABATI | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||