Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08747 | Date 18/09/2020 |
| Token No | SM/21-22/3520 26/07/2021 | Serial | 044 Last Visit: 27/07/2023 |
| Patient Name | Mr. PARTHA SARATHI BHATTACHARJEE | Contact No | 8017391651 |
| Address | 69 A, BARABAGAN LANE SERAMPORE MALLICKPARA , HOOGHLY | Age | 50 Years,6 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||