Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00044 | Date 02/08/2018 |
| Token No | SM/22-23/20751 20/03/2023 | Serial | 015 Last Visit: 25/04/2023 |
| Patient Name | Mr. JAYNTA SHIL | Contact No | 9143064981 |
| Address | 165/C PRABHAS NAGAR , SERAMPORE HOOGHLY | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||