Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07678 | Date 29/02/2020 |
| Token No | SM/19-20/20675 03/04/2020 | Serial | 006 Last Visit: 03/12/2025 |
| Patient Name | Mr. PHALGUNI ROY | Contact No | 6290413931 |
| Address | 21 A P GHOSH ROAD, SERAMPORE | Age | 59 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||