Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09045 | Date 14/12/2020 |
| Token No | SM/22-23/24851 30/09/2023 | Serial | 001 Last Visit: 27/01/2025 |
| Patient Name | Mr. SHANKU MONDAL | Contact No | |
| Address | 226 CHATRA BAGER BAGAN TELIPARA , BAIDYABATI(M) | Age | 54 Years,0 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 37.6 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 17.282390 |
| Diagnosis | |||