Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01952 | Date 14/11/2018 |
| Token No | SM/21-22/2371 21/06/2021 | Serial | 014 Last Visit: 29/11/2025 |
| Patient Name | Mr. ANAL KUMAR BENERJEE | Contact No | 9830742447 |
| Address | 32 CHATRA CHOWDHURY PARA BY LANE | Age | 59 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||