Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08669 | Date 26/08/2020 |
| Token No | SM/21-22/767 23/04/2021 | Serial | 020 Last Visit: 24/11/2023 |
| Patient Name | Mr. SUBRATA ROY CHOWDHURY | Contact No | 9674632636 |
| Address | 3 MALLICK PARA BYE LANE SERAMPORE | Age | 43 Years,10 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||