Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04499 | Date 01/04/2019 |
| Token No | SM/19-20/53 01/04/2019 | Serial | 054 Last Visit: 26/03/2022 |
| Patient Name | Mr. PRASUN KUMAR DEB | Contact No | 9073627911 |
| Address | 6 P.N MUKHERJEE STREET SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||