Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05820 | Date 18/07/2019 |
| Token No | SM/19-20/6746 18/07/2019 | Serial | 021 Last Visit: 28/02/2023 |
| Patient Name | Mr. SOUMALYA DEY SARKAR | Contact No | 7278440128 |
| Address | 4 CHOWDHURY PARA LANE,CHATRA SERAMPORE | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||