Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07465 | Date 03/02/2020 |
| Token No | SM/19-20/23820 06/07/2020 | Serial | 062 Last Visit: 27/08/2025 |
| Patient Name | Mr. SAJAL CHANDRA | Contact No | 8017641028 |
| Address | 32/U DR. BAGAN LANE, SERAMPORE | Age | 41 Years,9 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||