Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12763 | Date 25/11/2023 |
| Token No | SM/22-23/26896 09/12/2023 | Serial | 010 Last Visit: 09/12/2023 |
| Patient Name | Mr. RAJU HALDER | Contact No | 7980978873 |
| Address | 175/A TELIPARA CHATRA BAIDYABATI (M) | Age | 28 Years,1 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||