Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10129 | Date 25/09/2021 |
| Token No | SM/21-22/5642 30/09/2021 | Serial | 025 Last Visit: 19/06/2024 |
| Patient Name | Mr. SAMIR DEBNATH | Contact No | 7278961189 |
| Address | BIRIBER, GHORAMARA, SERAMPORE | Age | 36 Years,2 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||