Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12166 | Date 17/06/2023 |
| Token No | SM/22-23/22293 17/06/2023 | Serial | 015 Last Visit: 17/06/2023 |
| Patient Name | Mr. ARNAB KUMAR DUTTA | Contact No | 9836464857 |
| Address | 3 GOBINDA CHANDRA BHATTCHARYA LANE SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||