Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08975 | Date 13/11/2020 |
| Token No | SM/21-22/5606 28/09/2021 | Serial | 038 Last Visit: 08/11/2025 |
| Patient Name | Mr. NIRANJON RAY | Contact No | 6289278255 |
| Address | 7 LEHIRI PARA LANE,SERAMPORE | Age | 63 Years,10 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||