Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10996 | Date 11/05/2022 |
| Token No | SM/24-25/34285 29/06/2024 | Serial | 058 Last Visit: 29/06/2024 |
| Patient Name | Mr. PROSENJIT SIULY | Contact No | |
| Address | 9, TARAPUKUR LANE SERAMPORE | Age | 30 Years,5 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||