Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08109 | Date 18/04/2020 |
| Token No | SM/19-20/24685 03/08/2020 | Serial | 028 Last Visit: 22/06/2021 |
| Patient Name | Mr. SWAPAN KUMAR DAS | Contact No | 8972724766 |
| Address | G. C . GOSWAMI ROAD SERAMPORE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||