Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05678 | Date 05/07/2019 |
| Token No | SM/19-20/6449 13/07/2019 | Serial | 113 Last Visit: 07/10/2025 |
| Patient Name | Mr. ARNAB DAS | Contact No | 9804174690 |
| Address | 1/A DHARMATALA BYE LANE CHATRA SERAMPORE | Age | 28 Years,9 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||