Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07613 | Date 24/02/2020 |
| Token No | SM/20-21/27411 10/11/2020 | Serial | 052 Last Visit: 08/04/2023 |
| Patient Name | Mr. SANJAY KUMAR KOLE | Contact No | 9239344515 |
| Address | GOBINDAPUR PASCHIMPARA, DIARA SINGUR HOOGHLY | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||