Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05181 | Date 21/05/2019 |
| Token No | SM/19-20/3121 21/05/2019 | Serial | 069 Last Visit: 01/10/2024 |
| Patient Name | Mr. AJAY BHUIYA | Contact No | 9123393949 |
| Address | 97 JN LAHIRI ROAD SERAMPORE | Age | 26 Years,9 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||