Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00057 | Date 02/08/2018 |
| Token No | SM/18-19/57 02/08/2018 | Serial | 023 Last Visit: 24/05/2025 |
| Patient Name | Mr. DEBASIS PANJA | Contact No | |
| Address | 5, P.N MUKHERJEE ST. | Age | 48 Years,4 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||