Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09212 | Date 25/01/2021 |
| Token No | SM/20-21/30263 02/03/2021 | Serial | 026 Last Visit: 07/11/2025 |
| Patient Name | Mr. TAPAN NANDI | Contact No | 9051186019 |
| Address | 2 LENIN SARANI,SERAMPORE | Age | 57 Years,10 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||