Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08491 | Date 06/07/2020 |
| Token No | SM/20-21/27021 02/11/2020 | Serial | 016 Last Visit: 07/11/2025 |
| Patient Name | Mr. JOYDEV DAS | Contact No | 8276940809 |
| Address | 34 M C LAHIRI BHADUR STREET NEAR JORA BARI CHATRA , SERAMPORE | Age | 76 Years,4 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||