Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07217 | Date 23/12/2019 |
| Token No | SM/21-22/10737 12/03/2022 | Serial | 038 Last Visit: 21/09/2024 |
| Patient Name | Mr. SILAJIT SENGUPTA | Contact No | 8777394351 |
| Address | 45/E CHATRA MUSALMAN PARA ROAD, SERAMPORE(M) | Age | 26 Years,8 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||