Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02976 | Date 14/01/2019 |
| Token No | SM/21-22/1281 10/05/2021 | Serial | 029 Last Visit: 16/06/2025 |
| Patient Name | Mr. BISWANATH DEY | Contact No | 9830832264 |
| Address | 78/A A P GHOSH ROAD | Age | 53 Years,5 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||