Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07947 | Date 27/03/2020 |
| Token No | SM/20-21/30996 20/03/2021 | Serial | 025 Last Visit: 15/10/2025 |
| Patient Name | Mr. UTTAM MITRA | Contact No | 9163155999 |
| Address | 150/A RAMKRISHNA ROAD,BAIDTABATI(M) | Age | 51 Years,9 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||