Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08580 | Date 22/07/2020 |
| Token No | SM/19-20/25056 22/08/2020 | Serial | 025 Last Visit: 12/04/2025 |
| Patient Name | Mr. DILIP PODDAR | Contact No | |
| Address | BARO BAGAN LANE , SERAMPORE | Age | 71 Years,3 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||