Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07043 | Date 02/12/2019 |
| Token No | SM/19-20/14497 02/12/2019 | Serial | 090 Last Visit: 13/12/2023 |
| Patient Name | Mr. GOPAL DAS | Contact No | |
| Address | SERAMPORE | Age | 21 Years,0 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||