Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08013 | Date 04/04/2020 |
| Token No | SM/19-20/20735 04/04/2020 | Serial | 016 Last Visit: 04/06/2025 |
| Patient Name | Mr. PRANAB SAMANTA | Contact No | |
| Address | DR.P.N.MUKHERJEE ST.SMP SERAMPORE(M) | Age | 41 Years,5 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||