Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06599 | Date 08/10/2019 |
| Token No | SM/19-20/11525 08/10/2019 | Serial | 001 Last Visit: 23/06/2025 |
| Patient Name | Mr. ASHOK DAS | Contact No | |
| Address | serampore | Age | 46 Years,3 Months,11 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||