Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01294 | Date 24/09/2018 |
| Token No | SM/19-20/9199 27/08/2019 | Serial | 007 Last Visit: 27/12/2022 |
| Patient Name | Mr. BIMAL KUMAR DAS | Contact No | 9748164457 |
| Address | SIDDHESWARY TALA LANE SERAMPORE(M) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||