Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05661 | Date 05/07/2019 |
| Token No | SM/22-23/15522 08/08/2022 | Serial | 007 Last Visit: 13/08/2022 |
| Patient Name | Mr. SANJAY KUMAR MANDAL | Contact No | 9331239183 |
| Address | 8/A DR, G.C GOSWAMI STREET SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||