Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04704 | Date 16/04/2019 |
| Token No | SM/19-20/24907 17/08/2020 | Serial | 069 Last Visit: 01/11/2025 |
| Patient Name | Mr. GANESH RAOTH | Contact No | 9748200991 |
| Address | 54 CHATRA DHARMOTALA SERAMPORE | Age | 73 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||