Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04252 | Date 16/03/2019 |
| Token No | SM/19-20/13537 19/11/2019 | Serial | 034 Last Visit: 07/07/2025 |
| Patient Name | Mr. RABIN PAL | Contact No | 9475320698 |
| Address | A.K DUTTA SARANI (USHAN GAN APPRTMENT), SERAMPORE | Age | 61 Years,9 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||