Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00991 | Date 08/09/2018 |
| Token No | SM/18-19/1374 08/09/2018 | Serial | 003 Last Visit: 16/07/2025 |
| Patient Name | Mr. VIVEK KUMAR JHA | Contact No | 9681059453 |
| Address | 64 N N RAY STREET SERAMPORE | Age | 32 Years,0 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||