Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06093 | Date 09/08/2019 |
| Token No | SM/21-22/3805 06/08/2021 | Serial | 003 Last Visit: 15/10/2025 |
| Patient Name | Mr. SUKAMAL SOM | Contact No | 7044016679 |
| Address | 121 CHATRA BARUI PARA , SERAMPORE | Age | 65 Years,9 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||