Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11032 | Date 23/05/2022 |
| Token No | SM/22-23/12793 23/05/2022 | Serial | 041 Last Visit: 28/02/2023 |
| Patient Name | Mr. ARUN KUMAR DEBGUPTA | Contact No | 9051454469 |
| Address | 44 PROF K. MUKHERJEE SARANI CHATRA SERAMPORE | Age | 79 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||