Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00044 | Date 02/08/2018 |
| Token No | SM/18-19/3709 15/11/2018 | Serial | 004 Last Visit: 25/04/2023 |
| Patient Name | Mr. JAYNTA SHIL | Contact No | 9143064981 |
| Address | 165/C PRABHAS NAGAR , SERAMPORE HOOGHLY | Age | 47 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||