Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03775 | Date 21/02/2019 |
| Token No | SM/19-20/1628 25/04/2019 | Serial | 014 Last Visit: 02/02/2023 |
| Patient Name | Mr. AMARNATH PARAMANIK | Contact No | 8481870429 |
| Address | 76 CHATRA BARUI PARA LANE SERAMPORE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||