Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02721 | Date 28/12/2018 |
| Token No | SM/19-20/3809 01/06/2019 | Serial | 010 Last Visit: 19/07/2025 |
| Patient Name | Mr. SANATAN PYNE | Contact No | 9051889048 |
| Address | 22 BANIYA PARA LANE SERAMPORE | Age | 74 Years,6 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||