Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10333 | Date 24/11/2021 |
| Token No | SM/21-22/7559 08/12/2021 | Serial | 013 Last Visit: 15/03/2023 |
| Patient Name | Mr. PRADYUT KUMAR DEY | Contact No | 8100785038 |
| Address | 301/1/A,BAGER BAGAN TELIPARA BELTALA SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||