Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10160 | Date 30/09/2021 |
| Token No | SM/21-22/5632 30/09/2021 | Serial | 015 Last Visit: 29/10/2025 |
| Patient Name | Mr. GOPAL BHATTACHARJEE | Contact No | 9830663385 |
| Address | 9/A CHATRA CHOWDHURY PARA SERAMPORE | Age | 46 Years,9 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||