Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03371 | Date 05/02/2019 |
| Token No | SM/21-22/5673 01/10/2021 | Serial | 030 Last Visit: 06/12/2025 |
| Patient Name | Mr. ASHOKE KUMAR KUNDU | Contact No | 8017876520 |
| Address | 51 THAKUR DAS BABU LANE,SERAMPORE | Age | 76 Years,11 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||