Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06707 | Date 21/10/2019 |
| Token No | SM/21-22/3759 04/08/2021 | Serial | 026 Last Visit: 13/10/2025 |
| Patient Name | Mr. PRIYARANJAN DUTTA | Contact No | 9874254315 |
| Address | 54A CHATRA BARUI PARA LANE SERAMPORE | Age | 51 Years,9 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||