Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08731 | Date 10/09/2020 |
| Token No | SM/19-20/25631 10/09/2020 | Serial | 069 Last Visit: 28/11/2025 |
| Patient Name | Mr. BISWAJIT DUTTA | Contact No | 9088551918 |
| Address | 1 NO MUSALNMAN PARA | Age | 57 Years,4 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||