Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07718 | Date 05/03/2020 |
| Token No | SM/21-22/5923 08/10/2021 | Serial | 045 Last Visit: 16/10/2023 |
| Patient Name | Mr. DEBASISH RAY | Contact No | 6290265461 |
| Address | 7 LAHIRIR PARA LANE SERAMPORE | Age | 21 Years,8 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||