Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09786 | Date 03/07/2021 |
| Token No | SM/21-22/6312 27/10/2021 | Serial | 005 Last Visit: 13/08/2024 |
| Patient Name | Mr. DIPANKAR PAL | Contact No | 6291819764 |
| Address | 15 A BHADHURI LANE SERAMPORE | Age | 58 Years,7 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||