Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07212 | Date 21/12/2019 |
| Token No | SM/19-20/15742 21/12/2019 | Serial | 050 Last Visit: 19/07/2024 |
| Patient Name | Mr. SAMIR ADAK | Contact No | 7980768075 |
| Address | 164/A,NETAJI SUBHAS AVENUE SERAMPORE | Age | 53 Years,2 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||