Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02221 | Date 29/11/2018 |
| Token No | SM/18-19/4400 29/11/2018 | Serial | 061 Last Visit: 28/10/2025 |
| Patient Name | Mr. PRASENJIT MAITY | Contact No | 6289032357 |
| Address | 75/96/D RAMKRISHNA ROAD CHATRA SERAMPORE | Age | 51 Years,2 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||