Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07990 | Date 01/04/2020 |
| Token No | SM/24-25/35302 25/07/2024 | Serial | 043 Last Visit: 25/07/2024 |
| Patient Name | Mr. SUMAN NAYAK | Contact No | 6291973014 |
| Address | 105(39) D.N MUKHERJEE ROAD BAIDYABATI M | Age | 24 Years,0 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||