Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04712 | Date 16/04/2019 |
| Token No | SM/20-21/30871 18/03/2021 | Serial | 019 Last Visit: 18/07/2025 |
| Patient Name | Mr. ARIJIT SAHA | Contact No | 9239127058 |
| Address | 51/A/1 THAKUR DAS BABU LANE BENE PARA SERAMPORE | Age | 21 Years,6 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||