Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00565 | Date 20/08/2018 |
| Token No | SM/19-20/14094 27/11/2019 | Serial | 003 Last Visit: 16/10/2025 |
| Patient Name | Mr. PRABIR KUMAR SOM | Contact No | 9874948530 |
| Address | 122B CHATRA BARUI PARA LANE, SERAMPORE | Age | 62 Years,9 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||