Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07972 | Date 30/03/2020 |
| Token No | SM/19-20/21669 28/04/2020 | Serial | 018 Last Visit: 21/11/2025 |
| Patient Name | Mr. SHYAMSUNDAR RUIDAS | Contact No | 9133722304 |
| Address | 51/33 HARIJAN ROAD CHATRA SERAMPORE | Age | 47 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||