Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05607 | Date 28/06/2019 |
| Token No | SM/19-20/8458 16/08/2019 | Serial | 041 Last Visit: 03/11/2023 |
| Patient Name | Mr. PRABIR KUMAR BAG | Contact No | 9836173675 |
| Address | 43 CHATRA BARUI PARA LANE SERAMPORE | Age | 66 Years,10 Months,1 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||