Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12041 | Date 19/04/2023 |
| Token No | SM/22-23/21196 19/04/2023 | Serial | 000 Last Visit: 21/05/2025 |
| Patient Name | Mr. SAMIR BARDHAN | Contact No | 6290574240 |
| Address | 57 CHATRA BARUI PARA LANE | Age | 42 Years,6 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||