Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07349 | Date 16/01/2020 |
| Token No | SM/20-21/27776 25/11/2020 | Serial | 019 Last Visit: 04/11/2025 |
| Patient Name | Mr. DIPANKAR LAHIRI | Contact No | 9830157031 |
| Address | 12 CHATRA LAHIRI PARA LANE, SERAMPORE, 712204 | Age | 71 Years,10 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||