Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04116 | Date 09/03/2019 |
| Token No | SM/19-20/14749 06/12/2019 | Serial | 006 Last Visit: 27/09/2025 |
| Patient Name | Mr. SHIB DAS CHATERJEE | Contact No | 8100590955 |
| Address | 58 CHATRA DUTTA PARA | Age | 53 Years,8 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||