Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08721 | Date 08/09/2020 |
| Token No | SM/21-22/3904 09/08/2021 | Serial | 054 Last Visit: 12/03/2024 |
| Patient Name | Mr. AMIT DAS | Contact No | 7003490061 |
| Address | 37/A CHATRA DHARMOTALA LANE, SERAMPORE | Age | 22 Years,1 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||