Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01488 | Date 04/10/2018 |
| Token No | SM/19-20/21272 17/04/2020 | Serial | 040 Last Visit: 18/12/2025 |
| Patient Name | Mr. JAYANTA CHOWDHURY | Contact No | 9051488324 |
| Address | 21, CHATRA DOLTALA, SERAMPORE | Age | 62 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||