Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13069 | Date 03/01/2024 |
| Token No | SM/22-23/27765 03/01/2024 | Serial | 027 Last Visit: 03/01/2024 |
| Patient Name | Mr. SUBHO MONDAL | Contact No | 8777521665 |
| Address | G T ROAD PAMPANAGAR BAIDYABATI (M) | Age | 29 Years,0 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||