Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04892 | Date 24/04/2019 |
| Token No | SM/19-20/14279 29/11/2019 | Serial | 048 Last Visit: 22/12/2025 |
| Patient Name | Mr. DILIP DAS | Contact No | 7278070333 |
| Address | 24 BARO BAGAN LANE , SERAMPORE | Age | 44 Years,11 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||