Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09221 | Date 28/01/2021 |
| Token No | SM/20-21/30838 17/03/2021 | Serial | 017 Last Visit: 24/06/2024 |
| Patient Name | Mr. MEGHNATH POLLEY | Contact No | 7596827097 |
| Address | 17 CHAKRABORTY ROAD SERAMPORE | Age | 56 Years,5 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||