Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00882 | Date 01/09/2018 |
| Token No | SM/22-23/27492 23/12/2023 | Serial | 045 Last Visit: 23/12/2023 |
| Patient Name | Mr. PROBIR BISWASH | Contact No | 9830131874 |
| Address | 416/1 G T ROAD CHATRA BOUBAZER,BAIDYBATI | Age | 53 Years,11 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||