Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08819 | Date 05/10/2020 |
| Token No | SM/20-21/26516 12/10/2020 | Serial | 011 Last Visit: 16/07/2025 |
| Patient Name | Mr. KEDARNATH DAS | Contact No | 9903687157 |
| Address | 18A A. P. GHOSH ROAD,CHATRA SERAMPORE | Age | 63 Years,6 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||