Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04949 | Date 27/04/2019 |
| Token No | SM/19-20/1823 27/04/2019 | Serial | 072 Last Visit: 09/01/2021 |
| Patient Name | Mr. SHYAMAL DHARA | Contact No | 8648880677 |
| Address | 132 NETAJI SUBHAS A.V.NEW SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||