Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08773 | Date 24/09/2020 |
| Token No | SM/20-21/25976 24/09/2020 | Serial | 006 Last Visit: 12/12/2024 |
| Patient Name | Mr. SUTAPA PATRA | Contact No | 9903873414 |
| Address | 28 BARA BAGAN LANE SERAMPORE | Age | 49 Years,11 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||