Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04726 | Date 16/04/2019 |
| Token No | SM/19-20/22438 23/05/2020 | Serial | 005 Last Visit: 19/09/2025 |
| Patient Name | Mr. UTTAM KUMAR DE | Contact No | 9875354097 |
| Address | 23 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 57 Years,7 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||