Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08201 | Date 04/05/2020 |
| Token No | SM/19-20/21863 04/05/2020 | Serial | 007 Last Visit: 01/11/2025 |
| Patient Name | Mr. SAMBHU NATH BENERJEE | Contact No | |
| Address | 16 CHATRA,DHARMATALA, | Age | 89 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||