Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12537 | Date 30/09/2023 |
| Token No | SM/22-23/24854 30/09/2023 | Serial | 004 Last Visit: 23/10/2024 |
| Patient Name | Mr. SUMAN DUTTA | Contact No | 8617747599 |
| Address | 43 A.P. GHOSH ROAD CHATRA SERAMPORE | Age | 25 Years,6 Months,1 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||