Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07817 | Date 17/03/2020 |
| Token No | SM/19-20/21596 27/04/2020 | Serial | 023 Last Visit: 09/05/2024 |
| Patient Name | Mr. AVIJIT PAL | Contact No | 9836050528 |
| Address | 10 NO KUMAR PARA LANE SERAMPORE | Age | 36 Years,7 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||