Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06779 | Date 01/11/2019 |
| Token No | SM/21-22/6797 12/11/2021 | Serial | 071 Last Visit: 15/12/2025 |
| Patient Name | Mr. BIMALENDU SAHA | Contact No | 8442970023 |
| Address | 16A. K.K MUKHERJEE SARANI CHAKRABORTY, SERAMPORE | Age | 79 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||