Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12084 | Date 11/05/2023 |
| Token No | SM/22-23/21573 11/05/2023 | Serial | 014 Last Visit: 11/05/2023 |
| Patient Name | Mr. SUNETRA SEN | Contact No | 8282857462 |
| Address | 73(25/A) TELIPARA BAGHER BAGAN,BAIDYABATI(M) | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||