Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07099 | Date 07/12/2019 |
| Token No | SM/21-22/1691 24/05/2021 | Serial | 069 Last Visit: 15/12/2025 |
| Patient Name | Mr. SANKAR KUMAR DUTTA | Contact No | 9051748149 |
| Address | 67/A CHATRA BARUIPARA LANE SERAMPORE | Age | 58 Years,11 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||