Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06081 | Date 07/08/2019 |
| Token No | SM/19-20/13996 26/11/2019 | Serial | 003 Last Visit: 13/08/2025 |
| Patient Name | Mr. RAJESWAR PAL | Contact No | 9088465871 |
| Address | 50 CHATRA DHARMOTALA LANE SERAMPORE | Age | 44 Years,7 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||