Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08380 | Date 18/06/2020 |
| Token No | SM/21-22/4794 06/09/2021 | Serial | 026 Last Visit: 08/12/2025 |
| Patient Name | Mr. ANUP KUMAR JAISWARA | Contact No | 9163782009 |
| Address | 11 NO RABINDRA BHABAN ROAD SERAMPORE | Age | 47 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||