Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03204 | Date 29/01/2019 |
| Token No | SM/18-19/7513 29/01/2019 | Serial | 006 Last Visit: 10/08/2023 |
| Patient Name | Mr. PALASH SANTRA | Contact No | 9732560058 |
| Address | 41 BENIYA PARA LANE SERAMPORE | Age | 49 Years,9 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||