Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06638 | Date 14/10/2019 |
| Token No | SM/20-21/29632 21/01/2021 | Serial | 052 Last Visit: 01/02/2025 |
| Patient Name | Mr. SANAT KARMAKAR | Contact No | 9874515208 |
| Address | 29 RAJA K. L. GOSWAMI STREET | Age | 56 Years,1 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||