Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00061 | Date 02/08/2018 |
| Token No | SM/22-23/22063 08/06/2023 | Serial | 030 Last Visit: 26/07/2024 |
| Patient Name | Mr. GOPINATH SANTRA | Contact No | |
| Address | BALLAVPUR GHAT, SERAMPORE | Age | 31 Years,6 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||