Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13181 | Date 02/02/2024 |
| Token No | SM/22-23/28676 02/02/2024 | Serial | 014 Last Visit: 07/02/2024 |
| Patient Name | Mr. SURJA DHARA | Contact No | 6289012472 |
| Address | 132 N S AVENUE SERAMPORE | Age | 66 Years,1 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||