Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02493 | Date 12/12/2018 |
| Token No | SM/18-19/6593 10/01/2019 | Serial | 020 Last Visit: 23/05/2022 |
| Patient Name | Mr. SANDIP SANYAL | Contact No | 9163489687 |
| Address | 7/A DR. G C GOWSAMI STREET | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||