Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14635 | Date 02/12/2024 |
| Token No | SM/24-25/40170 02/12/2024 | Serial | 031 Last Visit: 02/12/2024 |
| Patient Name | Mr. SURAJIT DEBNATH | Contact No | 9088078764 |
| Address | 107/F/D/B G T ROAD BAIDYABATI (M) | Age | 29 Years,1 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||