Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05678 | Date 05/07/2019 |
| Token No | SM/21-22/3799 05/08/2021 | Serial | 031 Last Visit: 07/10/2025 |
| Patient Name | Mr. ARNAB DAS | Contact No | 9804174690 |
| Address | 1/A DHARMATALA BYE LANE CHATRA SERAMPORE | Age | 28 Years,9 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||