Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07457 | Date 03/02/2020 |
| Token No | SM/21-22/3007 08/07/2021 | Serial | 029 Last Visit: 26/11/2025 |
| Patient Name | Mr. PRABHAT KUMAR KUNDU | Contact No | 9836811534 |
| Address | 3/A/5 CHATRA DUTTA PARA LANE | Age | 75 Years,0 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||