Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02383 | Date 06/12/2018 |
| Token No | SM/19-20/7325 25/07/2019 | Serial | 078 Last Visit: 21/11/2025 |
| Patient Name | Mr. RATAN CH. SANTARA | Contact No | 9748246553 |
| Address | 140/A N.S AVENUE SERAMPORE | Age | 72 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||