Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09342 | Date 18/03/2021 |
| Token No | SM/20-21/30876 18/03/2021 | Serial | 024 Last Visit: 27/09/2025 |
| Patient Name | Mr. GOBINDA LAL DAS | Contact No | 8420570635 |
| Address | 7 CHATRA SIDDHASWARI LANE CHATRA SERAMPORE | Age | 68 Years,8 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||