Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10493 | Date 03/01/2022 |
| Token No | SM/22-23/27389 20/12/2023 | Serial | 033 Last Visit: 25/03/2025 |
| Patient Name | Mr. NANDU SHAW | Contact No | 9123833088 |
| Address | 205/E/F TELIPARA BAGERBAGAN | Age | 48 Years,2 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||