Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03246 | Date 31/01/2019 |
| Token No | SM/18-19/7637 31/01/2019 | Serial | 011 Last Visit: 14/11/2025 |
| Patient Name | Mr. SOUMOJIT DEY | Contact No | 9051868281 |
| Address | 24 P N MUKHERJEE STREET | Age | 18 Years,10 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||