Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05178 | Date 21/05/2019 |
| Token No | SM/20-21/27956 01/12/2020 | Serial | 058 Last Visit: 24/09/2025 |
| Patient Name | Mr. SUNIL SHARMA | Contact No | 7003311250 |
| Address | 11/D P.N MUKHERJEE STREET SERAMPORE CHATRA | Age | 45 Years,8 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||