Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08619 | Date 03/08/2020 |
| Token No | SM/19-20/24683 03/08/2020 | Serial | 026 Last Visit: 22/10/2024 |
| Patient Name | Mr. ASHIM KUMAR CHANDRA | Contact No | 9831731965 |
| Address | 32/U DOCTOR BAGAN LANE SERAMPORE | Age | 51 Years,9 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||