Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06570 | Date 27/09/2019 |
| Token No | SM/19-20/16938 20/01/2020 | Serial | 051 Last Visit: 19/09/2022 |
| Patient Name | Mr. SUBHRAJEET DUTTA | Contact No | 8910952783 |
| Address | 5,CHATRA GHOSH PARA LANE SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||