Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01521 | Date 05/10/2018 |
| Token No | SM/18-19/11310 27/03/2019 | Serial | 014 Last Visit: 21/11/2025 |
| Patient Name | Mr. SUBHASIS DE | Contact No | 9903794022 |
| Address | 30/A/1 DR P N MUKHERJEE STREET | Age | 63 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||