Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07128 | Date 12/12/2019 |
| Token No | SM/19-20/15113 12/12/2019 | Serial | 033 Last Visit: 24/06/2024 |
| Patient Name | Mr. GOBINDA DAS | Contact No | 9674550852 |
| Address | 3A KHAL DHAR LANE SERAMPORE | Age | 82 Years,5 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||