Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09027 | Date 05/12/2020 |
| Token No | SM/20-21/28133 05/12/2020 | Serial | 001 Last Visit: 18/07/2023 |
| Patient Name | Mr. NABAKUMAR DUTTA | Contact No | 9073220283 |
| Address | 67,CHATRA BARUI PARA LANE,SERAMPORE | Age | 64 Years,10 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||