Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08860 | Date 13/10/2020 |
| Token No | SM/20-21/27125 04/11/2020 | Serial | 022 Last Visit: 08/12/2025 |
| Patient Name | Mr. PRADIP ROY | Contact No | 9051117987 |
| Address | 5/C DR. G. C. GOSWAMI STREET | Age | 70 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||