Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00162 | Date 06/08/2018 |
| Token No | SM/18-19/2465 04/10/2018 | Serial | 063 Last Visit: 01/11/2025 |
| Patient Name | Mr. SUBHASIS SOM | Contact No | 9432264286 |
| Address | 13/B DUTTAS LANE | Age | 69 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 83 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||