Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02363 | Date 06/12/2018 |
| Token No | SM/19-20/4194 08/06/2019 | Serial | 042 Last Visit: 19/08/2024 |
| Patient Name | Mr. DEBNATH ADHIKARY | Contact No | 8981414768 |
| Address | 13/2 CHATRA CHOWDHURY PARA LANE, SERAMPORE | Age | 23 Years,5 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||