Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05363 | Date 10/06/2019 |
| Token No | SM/19-20/21039 13/04/2020 | Serial | 007 Last Visit: 02/07/2025 |
| Patient Name | Mr. SANJAY BHATTCHARJEE | Contact No | 9831946552 |
| Address | 3D/2 CHARCH STREET HIMALAYAYA APPARTMENT | Age | 64 Years,6 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||