Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00403 | Date 13/08/2018 |
| Token No | SM/18-19/9323 23/02/2019 | Serial | 009 Last Visit: 14/08/2025 |
| Patient Name | Mr. AMAL KR. NANDI | Contact No | 9674320361 |
| Address | 31, P.N. MUKHERJEE STREET | Age | 72 Years,7 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||