Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10644 | Date 08/02/2022 |
| Token No | SM/21-22/10225 24/02/2022 | Serial | 028 Last Visit: 24/06/2024 |
| Patient Name | Mr. DEB KUMAR SIMLAI | Contact No | 9432120309 |
| Address | 35/A SASHIBHUSHAN GHOSH LANE SERAMPORE | Age | 75 Years,5 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||