Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09985 | Date 25/08/2021 |
| Token No | SM/21-22/4398 25/08/2021 | Serial | 016 Last Visit: 28/03/2025 |
| Patient Name | Mr. ARIJIT MITRA | Contact No | 8017693751 |
| Address | 16 A/6 BARA BAGAN SERAMPORE | Age | 58 Years,2 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||