Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09593 | Date 07/05/2021 |
| Token No | SM/21-22/1217 07/05/2021 | Serial | 010 Last Visit: 06/11/2025 |
| Patient Name | Mr. CHINMOY DUTTA | Contact No | 6289126092 |
| Address | 5,GHOSH PARA BYE LANE CHATRA SERAMPUR | Age | 44 Years,10 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||