Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01285 | Date 24/09/2018 |
| Token No | SM/19-20/22783 05/06/2020 | Serial | 022 Last Visit: 29/11/2025 |
| Patient Name | Mr. SANDIP KR SOM | Contact No | 7685885936 |
| Address | 17/D DUTTES LANE | Age | 76 Years,2 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||