Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00558 | Date 18/08/2018 |
| Token No | SM/18-19/9195 21/02/2019 | Serial | 057 Last Visit: 19/11/2025 |
| Patient Name | Mr. SHYAM SUNDAR DAS | Contact No | 9007863608 |
| Address | 30/B CHATRA DHARMATALA SERAMPORE | Age | 61 Years,10 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||