Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02206 | Date 29/11/2018 |
| Token No | SM/18-19/4370 29/11/2018 | Serial | 031 Last Visit: 07/03/2024 |
| Patient Name | Mr. SUBHAS DAS | Contact No | 9088819930 |
| Address | 72 MUKHERJEE PARA LANE, SERAMPORE | Age | 30 Years,3 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||