Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01440 | Date 01/10/2018 |
| Token No | SM/19-20/4764 18/06/2019 | Serial | 022 Last Visit: 13/01/2023 |
| Patient Name | Mr. RAMENDRA NARYAN SAHA | Contact No | 9239127058 |
| Address | 51A/1 THAKUR DAS BABU LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||