Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10135 | Date 25/09/2021 |
| Token No | SM/22-23/16768 15/09/2022 | Serial | 040 Last Visit: 13/06/2023 |
| Patient Name | Mr. KASHINATH DAS | Contact No | 7604098396 |
| Address | 16,RAJA K.L GHOSWAMI STREET SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||