Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01658 | Date 13/10/2018 |
| Token No | SM/19-20/5183 24/06/2019 | Serial | 049 Last Visit: 21/11/2025 |
| Patient Name | Mr. AMIYA KUMAR BHATTACHARJEE | Contact No | 9163880879 |
| Address | 44 A P GHOSH ROAD | Age | 72 Years,2 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||