Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00006 | Date 01/08/2018 |
| Token No | SM/21-22/9216 21/01/2022 | Serial | 024 Last Visit: 10/05/2025 |
| Patient Name | Mr. NEMAI PAL | Contact No | 8420312039 |
| Address | 19 CHATRA BAZER ROAD SERAMPORE | Age | 72 Years,4 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||