Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08055 | Date 09/04/2020 |
| Token No | SM/22-23/20829 24/03/2023 | Serial | 007 Last Visit: 24/03/2023 |
| Patient Name | Mr. PRANTOSH BAGCHI | Contact No | 9874888354 |
| Address | 64 BORO BAGAN LANE,ARNOPURNA BHABAN | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||