Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05334 | Date 04/06/2019 |
| Token No | SM/21-22/9438 29/01/2022 | Serial | 006 Last Visit: 25/01/2023 |
| Patient Name | Mr. APURAB DUTTA | Contact No | 9804871206 |
| Address | 67/A CHATRA BARUI PARA LANE SERAMPORE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||