Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00089 | Date 03/08/2018 |
| Token No | SM/19-20/10811 21/09/2019 | Serial | 020 Last Visit: 08/12/2025 |
| Patient Name | Mr. BHOLANATH PAL | Contact No | 9903319335 |
| Address | 49/A A.P GHOSH ROAD | Age | 75 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||