Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02299 | Date 03/12/2018 |
| Token No | SM/18-19/8249 07/02/2019 | Serial | 076 Last Visit: 03/12/2025 |
| Patient Name | Mr. BINOY SAMANTA | Contact No | 9874325603 |
| Address | 20 D N MUKHERJEE ROAD,BAIDAYBATY(M) | Age | 58 Years,5 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 100 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||