Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03599 | Date 15/02/2019 |
| Token No | SM/22-23/30726 27/03/2024 | Serial | 053 Last Visit: 27/03/2024 |
| Patient Name | Mr. BIDYUT MAITI | Contact No | 9331831750 |
| Address | PAMPA NAGER,BAIDYABATI(M) | Age | 25 Years,4 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||