Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13739 | Date 23/05/2024 |
| Token No | SM/25-26/881 29/04/2025 | Serial | 013 Last Visit: 29/04/2025 |
| Patient Name | Mr. TONMAY SETT | Contact No | |
| Address | CHARA BAGAN MATH, BAIDYABATI (M) | Age | 48 Years,1 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||