Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05015 | Date 04/05/2019 |
| Token No | SM/19-20/20272 25/03/2020 | Serial | 028 Last Visit: 12/09/2025 |
| Patient Name | Mr. KARTICK DEY | Contact No | 8017768572 |
| Address | 12 RAY GHAT LANE SERAMPORE | Age | 62 Years,8 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||