Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07010 | Date 29/11/2019 |
| Token No | SM/24-25/32163 06/05/2024 | Serial | 019 Last Visit: 06/05/2024 |
| Patient Name | Mr. NETAI DUTTA | Contact No | |
| Address | 131 CHATRA SHIBTALA SERAMPORE | Age | 76 Years,4 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||