Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03020 | Date 16/01/2019 |
| Token No | SM/21-22/4734 04/09/2021 | Serial | 003 Last Visit: 13/12/2025 |
| Patient Name | Mr. SK BADAL | Contact No | 8420739777 |
| Address | 28 MUSALMAN PARA LANE,SERAMPORE | Age | 44 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||