Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06610 | Date 13/10/2019 |
| Token No | SM/19-20/11605 13/10/2019 | Serial | 001 Last Visit: 17/10/2024 |
| Patient Name | Mr. KASHINATH DAS | Contact No | 9432265190 |
| Address | 42 BORO BAGAN LANE, SERAMPORE | Age | 59 Years,9 Months,15 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||