Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11010 | Date 17/05/2022 |
| Token No | SM/22-23/17827 12/11/2022 | Serial | 030 Last Visit: 14/03/2024 |
| Patient Name | Mr. GITANATH ADHIKARI | Contact No | 9051717904 |
| Address | 14, CHOWDHURY PARA LANE SERAMPORE | Age | 61 Years,2 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||