Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07235 | Date 27/12/2019 |
| Token No | SM/21-22/7702 11/12/2021 | Serial | 025 Last Visit: 18/07/2024 |
| Patient Name | Mr. ASHRAF HOSSAIN | Contact No | 9903712458 |
| Address | 10 DR G CGOSWAMI STREET SERAMPORE | Age | 64 Years,6 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||