Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09984 | Date 25/08/2021 |
| Token No | SM/21-22/4395 25/08/2021 | Serial | 013 Last Visit: 09/10/2025 |
| Patient Name | Mr. RANENDRANATH SARKAR | Contact No | 8240155933 |
| Address | CHOTOBELUR HOOGHLY | Age | 52 Years,9 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||