Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09332 | Date 16/03/2021 |
| Token No | SM/21-22/401 12/04/2021 | Serial | 036 Last Visit: 14/08/2025 |
| Patient Name | Mr. SANJAY MALIK | Contact No | 8768230739 |
| Address | 33 BARABAGAN LANE SERAMPORE MALLICK PARA | Age | 56 Years,7 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||