Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03508 | Date 12/02/2019 |
| Token No | SM/20-21/27055 02/11/2020 | Serial | 050 Last Visit: 04/08/2025 |
| Patient Name | Mr. NARAYAN PAL | Contact No | 9674347110 |
| Address | 16/A/1 CHATRA BARUI PARA LANE SERAMPORE | Age | 42 Years,0 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||