Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02891 | Date 08/01/2019 |
| Token No | SM/18-19/6458 08/01/2019 | Serial | 012 Last Visit: 20/08/2025 |
| Patient Name | Mr. AKASH MONDAL | Contact No | 8697302864 |
| Address | 79/K/1 N.N ROY STREET SERAMPORE | Age | 25 Years,7 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||