Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00553 | Date 18/08/2018 |
| Token No | SM/20-21/26186 01/10/2020 | Serial | 012 Last Visit: 14/11/2025 |
| Patient Name | Mr. SIDHAN KUMAR DUTTA | Contact No | 9830279455 |
| Address | 93B, CHATRA BARUI PARA, SERAMPORE | Age | 65 Years,10 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||