Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 14526 | Date 11/11/2024 |
| Token No | SM/24-25/39253 11/11/2024 | Serial | 023 Last Visit: 11/11/2024 |
| Patient Name | Mr. SAMRAT SADHUKHAN | Contact No | 9674695126 |
| Address | 1/1 G.T ROAD,SHEORAPHULY,BAIDYABATI(M) | Age | 25 Years,1 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||