Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06285 | Date 30/08/2019 |
| Token No | SM/20-21/28490 16/12/2020 | Serial | 023 Last Visit: 01/11/2025 |
| Patient Name | Mr. SHANKAR KHAN | Contact No | 9748690607 |
| Address | 40 CHATRA BARUI PARA LANE SERAMPORE | Age | 59 Years,10 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||