Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04240 | Date 15/03/2019 |
| Token No | SM/19-20/22031 07/05/2020 | Serial | 019 Last Visit: 02/08/2025 |
| Patient Name | Mr. SK ROBIAL | Contact No | 9088399717 |
| Address | 23/1/A CHATRA KUMAR PARA SERAMPORE | Age | 35 Years,2 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||