Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 13450 | Date 15/03/2024 |
| Token No | SM/22-23/30390 15/03/2024 | Serial | 030 Last Visit: 15/03/2024 |
| Patient Name | Mr. SUBHAS BANDOPADHYAY | Contact No | 8100858829 |
| Address | 124 MUKHERJEE PARA BAIDYABATI | Age | 78 Years,11 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||