Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08571 | Date 21/07/2020 |
| Token No | SM/24-25/31062 03/04/2024 | Serial | 070 Last Visit: 03/04/2024 |
| Patient Name | Mr. SUKUMAR SINGHA | Contact No | |
| Address | 18/2/A BARA BAGAN LANE SERAMPORE MALLICKPARA | Age | 63 Years,3 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||