Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06735 | Date 22/10/2019 |
| Token No | SM/19-20/12240 22/10/2019 | Serial | 063 Last Visit: 01/09/2025 |
| Patient Name | Mr. SAKHA HARI | Contact No | 9903873492 |
| Address | 4 BESHOHATA LANE SERAMPORE | Age | 35 Years,7 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||