Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01343 | Date 26/09/2018 |
| Token No | SM/19-20/24518 28/07/2020 | Serial | 001 Last Visit: 25/01/2025 |
| Patient Name | Mr. SUBIR MALLICK | Contact No | 9681065395 |
| Address | 59B A.P GHOSH ROAD CHATRA SERAMPORE(M) | Age | 36 Years,0 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||