Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01435 | Date 01/10/2018 |
| Token No | SM/19-20/21191 16/04/2020 | Serial | 033 Last Visit: 01/11/2025 |
| Patient Name | Mr. RUDRA HAZRA | Contact No | 8420915145 |
| Address | 3/A DUTTA PARA LANE SERAMPORE HOOGHLY | Age | 18 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||