Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04854 | Date 23/04/2019 |
| Token No | SM/20-21/29164 08/01/2021 | Serial | 002 Last Visit: 07/11/2025 |
| Patient Name | Mr. SK MAHAMMAD ALI | Contact No | 9051817737 |
| Address | MADHYAPA BANGIHATI, SIMLA, HOOGHLY | Age | 67 Years,10 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||