Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02706 | Date 27/12/2018 |
| Token No | SM/18-19/5843 27/12/2018 | Serial | 101 Last Visit: 31/12/2024 |
| Patient Name | Mr. KUNTAL SAHA | Contact No | 7890495436 |
| Address | 61, THAKUR DAS BABU LANE, SERAMPORE | Age | 44 Years,11 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||