Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05685 | Date 06/07/2019 |
| Token No | SM/19-20/5965 06/07/2019 | Serial | 028 Last Visit: 08/05/2025 |
| Patient Name | Mr. AVIJIT DAS | Contact No | 8013355704 |
| Address | 45 CHATRA LANKAR BAGAN SERAMPORE, BAIDYABATI(M) | Age | 31 Years,6 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||