Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07841 | Date 18/03/2020 |
| Token No | SM/21-22/5787 05/10/2021 | Serial | 038 Last Visit: 12/07/2025 |
| Patient Name | Mr. MD KHURSHID | Contact No | 9088604221 |
| Address | 7 T. C. GOSHWAMI STREET, SERAMPORE | Age | 69 Years,6 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||