Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02538 | Date 14/12/2018 |
| Token No | SM/20-21/28841 28/12/2020 | Serial | 053 Last Visit: 18/10/2025 |
| Patient Name | Mr. ARINDAM DEY | Contact No | 9830667613 |
| Address | 2 CHATRA DUTTA PARA CHATRA SERAMPORE | Age | 51 Years,9 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||