Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08363 | Date 17/06/2020 |
| Token No | SM/19-20/23308 22/06/2020 | Serial | 025 Last Visit: 14/11/2024 |
| Patient Name | Mr. MD ISRAIL | Contact No | 8478812661 |
| Address | 10 T.C GOSWAMI STREET SERAMPORE | Age | 51 Years,10 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||