Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07764 | Date 12/03/2020 |
| Token No | SM/19-20/19465 12/03/2020 | Serial | 027 Last Visit: 27/07/2022 |
| Patient Name | Mr. SUKUMAR SARDAR | Contact No | 9062272355 |
| Address | SARDARPARA DAKSHIN RAJYADHARPUR MALLICKPARA SERAMPORE | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||