Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07296 | Date 07/01/2020 |
| Token No | SM/19-20/16561 11/01/2020 | Serial | 021 Last Visit: 13/12/2025 |
| Patient Name | Mr. SANTAN KARMOKAR | Contact No | 9748417018 |
| Address | 154/83 NABOGRAM VIVEKANAND SARANI SADGOPE PARA , BAIDYABATI(M) | Age | 55 Years,0 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||