Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04252 | Date 16/03/2019 |
| Token No | SM/21-22/1007 30/04/2021 | Serial | 001 Last Visit: 07/07/2025 |
| Patient Name | Mr. RABIN PAL | Contact No | 9475320698 |
| Address | A.K DUTTA SARANI (USHAN GAN APPRTMENT), SERAMPORE | Age | 61 Years,9 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||