Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07666 | Date 28/02/2020 |
| Token No | SM/19-20/18842 28/02/2020 | Serial | 028 Last Visit: 01/11/2024 |
| Patient Name | Mr. SUBIR PAL | Contact No | 9674176575 |
| Address | 31 BHADURI LANE SERAMPORE | Age | 40 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||