Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 00573 | Date 20/08/2018 |
| Token No | SM/21-22/3396 23/07/2021 | Serial | 012 Last Visit: 20/09/2025 |
| Patient Name | Mr. ASHOK DAS | Contact No | 9875383968 |
| Address | J.N LAHIRI ROAD, SERAMPORE | Age | 37 Years,8 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||