Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08735 | Date 12/09/2020 |
| Token No | SM/22-23/24840 29/09/2023 | Serial | 032 Last Visit: 29/09/2023 |
| Patient Name | Mr. JAYANTA DUTTA | Contact No | 9230869103 |
| Address | 35 NO CHATRA DUTTA PARA LANE SERAMPORE | Age | 54 Years,8 Months,27 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||