Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08718 | Date 08/09/2020 |
| Token No | SM/21-22/4600 31/08/2021 | Serial | 053 Last Visit: 17/11/2025 |
| Patient Name | Mr. MADHAB CHANDRA DAS | Contact No | 7044350695 |
| Address | 3 SIDDHESWARI LANE CHATRA SERAMPORE | Age | 58 Years,10 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||