Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07924 | Date 25/03/2020 |
| Token No | SM/20-21/26060 26/09/2020 | Serial | 017 Last Visit: 13/12/2025 |
| Patient Name | Mr. PEMENDRA KUMAR DAS | Contact No | 9748150964 |
| Address | 3/A SIDDHSWARI LANE, SERAMPORE | Age | 64 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||