Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04521 | Date 02/04/2019 |
| Token No | SM/19-20/22255 15/05/2020 | Serial | 022 Last Visit: 03/04/2024 |
| Patient Name | Mr. ASISH SAHA | Contact No | 9051498450 |
| Address | 19A VIVEKANAND LANE SERAMPORE | Age | 58 Years,3 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||