Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05756 | Date 13/07/2019 |
| Token No | SM/19-20/6395 13/07/2019 | Serial | 059 Last Visit: 05/09/2025 |
| Patient Name | Mr. RATAN MALIK | Contact No | 9830664209 |
| Address | 59 B A. P. GHOSH ROAD | Age | 41 Years,4 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||