Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03574 | Date 14/02/2019 |
| Token No | SM/21-22/2894 06/07/2021 | Serial | 024 Last Visit: 18/12/2025 |
| Patient Name | Mr. DAMODAR GUIN | Contact No | 9038348489 |
| Address | 36 CHATRA DHARMATALA LANE, SERAMPORE | Age | 74 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||