Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10497 | Date 04/01/2022 |
| Token No | SM/21-22/9280 24/01/2022 | Serial | 028 Last Visit: 19/05/2025 |
| Patient Name | Mr. DEBASIS DEBGUPTA | Contact No | 9088547552 |
| Address | 44,KALLIKRISHNA MUKHERJEE SARANI SERAMPORE | Age | 44 Years,4 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||