Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09861 | Date 22/07/2021 |
| Token No | SM/21-22/4627 01/09/2021 | Serial | 025 Last Visit: 22/12/2023 |
| Patient Name | Mr. SUNIL HAZRA | Contact No | 9330174956 |
| Address | 26, BARA BAGAN LANE SERAMPORE | Age | 46 Years,11 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||