Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08994 | Date 25/11/2020 |
| Token No | SM/25-26/14398 27/08/2026 at 10:25 | Serial | 016 Last Visit: 27/08/2026 |
| Patient Name | Mr. SUBRATA MALAKAR | Contact No | 7980378030 |
| Address | 3 MAHATMA GANDHI ROAD, SERAMPORE | Age | 39 Years,8 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||