Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05666 | Date 05/07/2019 |
| Token No | SM/19-20/5893 05/07/2019 | Serial | 056 Last Visit: 03/03/2025 |
| Patient Name | Mr. MD MUMTAJ | Contact No | 9874025569 |
| Address | 56 N N ROY STREET SERAMPORE | Age | 40 Years,9 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||