Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07321 | Date 11/01/2020 |
| Token No | SM/20-21/30982 20/03/2021 | Serial | 011 Last Visit: 10/11/2025 |
| Patient Name | Mr. BIDYUT SAHA | Contact No | 9433818568 |
| Address | 42 BARO BAGAN LANE SERAMPORE | Age | 57 Years,10 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||