Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05986 | Date 29/07/2019 |
| Token No | SM/19-20/7489 29/07/2019 | Serial | 025 Last Visit: 01/10/2024 |
| Patient Name | Mr. BIJAY GHORAI | Contact No | 7044629469 |
| Address | 98 JITEN LAHIRI ROAD SERAMPORE | Age | 23 Years,9 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||