Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08282 | Date 27/05/2020 |
| Token No | SM/19-20/22582 29/05/2020 | Serial | 054 Last Visit: 26/11/2025 |
| Patient Name | Mr. NIRMAL DUTTA | Contact No | 9748565680 |
| Address | 8 P.N. CHAKRABORTY LANE | Age | 62 Years,10 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||