Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00376 | Date 13/08/2018 |
| Token No | SM/21-22/4423 26/08/2021 | Serial | 007 Last Visit: 28/10/2025 |
| Patient Name | Mr. AMITAVA SEAL | Contact No | 9903860938 |
| Address | 54, PROF. K.K. MUKHERJEE SARANI | Age | 70 Years,9 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||