Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08897 | Date 19/10/2020 |
| Token No | SM/20-21/29330 13/01/2021 | Serial | 053 Last Visit: 25/01/2023 |
| Patient Name | Mr. RAM SWARUP DAS | Contact No | 9874242630 |
| Address | 42A DR. TARAPRASHAN BHATTCHARJEE STREET SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||