Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08399 | Date 21/06/2020 |
| Token No | SM/19-20/23287 22/06/2020 | Serial | 004 Last Visit: 15/10/2025 |
| Patient Name | Mr. PRASAD KRISHNA MANDAL | Contact No | 9674022520 |
| Address | 4 CHOWDHURY PARA LANE SERAMPORE | Age | 54 Years,9 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||