Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10086 | Date 15/09/2021 |
| Token No | SM/21-22/5211 18/09/2021 | Serial | 023 Last Visit: 06/12/2025 |
| Patient Name | Mr. PUSHKAR DUTTA | Contact No | 9681247112 |
| Address | 67A CHATRA BARUI PARA LANE SERAMPORE | Age | 54 Years,11 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||