Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12368 | Date 25/08/2023 |
| Token No | SM/22-23/23878 25/08/2023 | Serial | 006 Last Visit: 25/08/2023 |
| Patient Name | Mr. SAMAR DAS | Contact No | 9231991417 |
| Address | 18/B CHOWDHURY PARA BYE LANE SERAMPORE | Age | 58 Years,7 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||