Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03019 | Date 16/01/2019 |
| Token No | SM/19-20/18561 24/02/2020 | Serial | 037 Last Visit: 11/10/2025 |
| Patient Name | Mr. ARNAB SHARMA | Contact No | 7223311250 |
| Address | 11 P N MUKHERJEE STREET | Age | 16 Years,9 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||