Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07144 | Date 13/12/2019 |
| Token No | SM/20-21/27235 06/11/2020 | Serial | 023 Last Visit: 24/01/2023 |
| Patient Name | Mr. TARUN DAS | Contact No | 9163244713 |
| Address | 3/C GHOSH PARA 1ST LANE CHATA SERAMPORE | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||