Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00122 | Date 04/08/2018 |
| Token No | SM/18-19/3875 19/11/2018 | Serial | 042 Last Visit: 29/06/2024 |
| Patient Name | Mr. TARAKNATH SHAW | Contact No | |
| Address | 23, TINBAJAR SERAMPORE HOOGHLY | Age | 51 Years,5 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||