Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05974 | Date 27/07/2019 |
| Token No | SM/19-20/10499 16/09/2019 | Serial | 100 Last Visit: 05/03/2024 |
| Patient Name | Mr. SAJAL KUMAR DUTTA | Contact No | 8961546167 |
| Address | 55 CHATRA BARUI PARA LANE SERAMPORE | Age | 63 Years,2 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||