Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06405 | Date 14/09/2019 |
| Token No | SM/19-20/17219 27/01/2020 | Serial | 014 Last Visit: 08/11/2025 |
| Patient Name | Mr. SANKAR SINGHA | Contact No | 9903452899 |
| Address | 18/1/B BARO BAGAN LANE , SERAMPORE | Age | 50 Years,5 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||