Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05572 | Date 25/06/2019 |
| Token No | SM/19-20/20320 26/03/2020 | Serial | 032 Last Visit: 29/12/2025 |
| Patient Name | Mr. KAMAL KOLEY | Contact No | 9874579157 |
| Address | 65/A S.C CHATERJEE SARANI SERAMPORE | Age | 62 Years,11 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||