Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03956 | Date 02/03/2019 |
| Token No | SM/18-19/9732 02/03/2019 | Serial | 051 Last Visit: 16/05/2025 |
| Patient Name | Mr. JAYANTA BISWAS | Contact No | 9830441257 |
| Address | 8 A.K DUTTA SARANI CHATRA BAZAR ROAD, SERAMPORE | Age | 34 Years,11 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||