Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14566 | Date 20/11/2024 |
| Token No | SM/24-25/39659 20/11/2024 | Serial | 009 Last Visit: 20/11/2024 |
| Patient Name | Mr. SAMBHUNATH DAS | Contact No | 9007774497 |
| Address | 25 NO A.P. GHOSH ROAD SERAMPORE | Age | 75 Years,10 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||