Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08189 | Date 30/04/2020 |
| Token No | SM/19-20/23329 24/06/2020 | Serial | 001 Last Visit: 16/01/2025 |
| Patient Name | Mr. PROBIR KUMAR CHANDRA | Contact No | 8647843455 |
| Address | 94 N.S. AVENUE, SERAMPORE | Age | 66 Years,1 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||