Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09482 | Date 19/04/2021 |
| Token No | SM/21-22/6274 26/10/2021 | Serial | 028 Last Visit: 22/01/2025 |
| Patient Name | Mr. ASHIS DAS | Contact No | 8585818393 |
| Address | 7,CHATRA DUTTA PARA LANE, SERAMPORE | Age | 56 Years,0 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||