Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02467 | Date 11/12/2018 |
| Token No | SM/19-20/17943 12/02/2020 | Serial | 053 Last Visit: 03/05/2025 |
| Patient Name | Mr. VIVEKANANDA PAUL | Contact No | 9875453440 |
| Address | 11/A A.P GHOSH ROAD CHATRA SERAMPORE | Age | 47 Years,4 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||