Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05348 | Date 06/06/2019 |
| Token No | SM/21-22/9370 27/01/2022 | Serial | 035 Last Visit: 24/06/2024 |
| Patient Name | Mr. PARTHA DAS | Contact No | 9836651015 |
| Address | 1/A DHARMATALA /LANE CHATRA SERAMPORE | Age | 51 Years,5 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||