Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00425 | Date 14/08/2018 |
| Token No | SM/20-21/28672 22/12/2020 | Serial | 019 Last Visit: 17/12/2025 |
| Patient Name | Mr. ASIT MAZUMDAR | Contact No | 9330539831 |
| Address | 2, M.G. ROAD | Age | 60 Years,11 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||