Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09485 | Date 19/04/2021 |
| Token No | SM/21-22/2985 08/07/2021 | Serial | 007 Last Visit: 25/01/2025 |
| Patient Name | Mr. KANAI LAL BASU | Contact No | 7604019663 |
| Address | 3,DR. G.C GOSWAMI STREET SERAMPORE | Age | 55 Years,2 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||