Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02466 | Date 11/12/2018 |
| Token No | SM/18-19/5058 11/12/2018 | Serial | 038 Last Visit: 13/10/2025 |
| Patient Name | Mr. AMRIT PAUL | Contact No | 9875453440 |
| Address | 11/A A.P GHOSH ROAD CHATRA SERAMPORE | Age | 23 Years,0 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||