Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00816 | Date 29/08/2018 |
| Token No | SM/18-19/1025 29/08/2018 | Serial | 031 Last Visit: 07/10/2023 |
| Patient Name | Mr. KALIDAS BHANGARI | Contact No | 7278899484 |
| Address | 16 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 41 Years,4 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||