Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12769 | Date 28/11/2023 |
| Token No | SM/22-23/26532 28/11/2023 | Serial | 020 Last Visit: 03/06/2024 |
| Patient Name | Mr. LAL MOHAN DUTTA | Contact No | 9239143288 |
| Address | 47/B CHATRA BARUI PARA LANE SERAMPORE | Age | 62 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||