Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08593 | Date 28/07/2020 |
| Token No | SM/19-20/24534 28/07/2020 | Serial | 017 Last Visit: 25/06/2025 |
| Patient Name | Mr. PRADIP DAS | Contact No | 9883669439 |
| Address | 22/A KUMIRJALA ROAD SERAMPORE MALLICKPARA | Age | 70 Years,5 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||