Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09243 | Date 04/02/2021 |
| Token No | SM/21-22/2955 07/07/2021 | Serial | 012 Last Visit: 23/03/2023 |
| Patient Name | Mr. SUNIL DAS | Contact No | 9830563756 |
| Address | 244/2 RAJYADHARPUR GOVT COLONY, SERAMPORE MALLICKPARA | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||