Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00764 | Date 28/08/2018 |
| Token No | SM/19-20/15087 12/12/2019 | Serial | 007 Last Visit: 30/07/2021 |
| Patient Name | Mr. BASUDEB MALIK | Contact No | 9681065396 |
| Address | 39, A.P GHOSH ROAD, SERAMPORE | Age | 56.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||