Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03433 | Date 07/02/2019 |
| Token No | SM/19-20/11981 18/10/2019 | Serial | 001 Last Visit: 07/08/2025 |
| Patient Name | Mr. DEBASISH BHUINYA | Contact No | |
| Address | 5 PROF. K.K MUKHERJEE SARANI CHATRA SERAMPORE | Age | 54 Years,8 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||