Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01921 | Date 12/11/2018 |
| Token No | SM/20-21/28018 03/12/2020 | Serial | 003 Last Visit: 25/06/2025 |
| Patient Name | Mr. ANIL MITRA | Contact No | 9874664769 |
| Address | 22 MAHATAMA A K DUTTA SARANI,CHATRA SERAMPORE | Age | 50 Years,5 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||