Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00070 | Date 03/08/2018 |
| Token No | SM/19-20/2472 10/05/2019 | Serial | 069 Last Visit: 08/08/2025 |
| Patient Name | Mr. MAHADEB MALLIK | Contact No | |
| Address | 59 A P GHOSH ROAD CHATRA SERAMPORE | Age | 52 Years,7 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||