Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05142 | Date 16/05/2019 |
| Token No | SM/19-20/2881 16/05/2019 | Serial | 043 Last Visit: 21/01/2023 |
| Patient Name | Mr. KARTIK CHANDRA DEY | Contact No | 9432239797 |
| Address | 18 CHAPA TALA LANE CHATRA SERAMPORE | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||