Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09337 | Date 17/03/2021 |
| Token No | SM/20-21/30847 17/03/2021 | Serial | 026 Last Visit: 13/12/2025 |
| Patient Name | Mr. MD SOAIL | Contact No | 8334073986 |
| Address | SERAMPORE | Age | 60 Years,9 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||