Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08488 | Date 06/07/2020 |
| Token No | SM/20-21/25965 23/09/2020 | Serial | 009 Last Visit: 03/11/2025 |
| Patient Name | Mr. PRASENJIT ROUTH | Contact No | 7003113482 |
| Address | 32 A P GHOSH ROAD CHATRA SERAMPORE | Age | 37 Years,10 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||