Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07151 | Date 14/12/2019 |
| Token No | SM/21-22/3860 09/08/2021 | Serial | 010 Last Visit: 19/09/2023 |
| Patient Name | Mr. SANJAY MONDAL | Contact No | 7003147365 |
| Address | 6 BHATTCHARJEE LANE MUKTI APARTMENT | Age | 34 Years,8 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||