Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04088 | Date 08/03/2019 |
| Token No | SM/19-20/18875 28/02/2020 | Serial | 061 Last Visit: 02/11/2023 |
| Patient Name | Mr. SUDAM ADAK | Contact No | 7890326747 |
| Address | 93 A.P GHOSH ROAD SERAMPORE | Age | 35 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||