Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13566 | Date 13/04/2024 |
| Token No | SM/24-25/31372 13/04/2024 | Serial | 034 Last Visit: 24/04/2024 |
| Patient Name | Mr. SUSHANTA KAYAL | Contact No | 8582800788 |
| Address | 93 VIVEKANANDA SARANI SADGOPE PARA , BAIDYABATI(M) | Age | 59 Years,3 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||