Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00790 | Date 28/08/2018 |
| Token No | SM/20-21/29538 19/01/2021 | Serial | 032 Last Visit: 23/04/2025 |
| Patient Name | Mr. ANJAN ROY | Contact No | 9007629519 |
| Address | 19 RAJA K.L GOSWAMI STREET | Age | 44 Years,3 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||