Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09597 | Date 08/05/2021 |
| Token No | SM/21-22/1311 11/05/2021 | Serial | 029 Last Visit: 01/08/2024 |
| Patient Name | Mr. SANAT DAS | Contact No | 9830863143 |
| Address | 1/A SASHIBHUSAN GHOSH LANE SERAMPORE | Age | 58 Years,7 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||