Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05178 | Date 21/05/2019 |
| Token No | SM/21-22/5655 01/10/2021 | Serial | 012 Last Visit: 24/09/2025 |
| Patient Name | Mr. SUNIL SHARMA | Contact No | 7003311250 |
| Address | 11/D P.N MUKHERJEE STREET SERAMPORE CHATRA | Age | 45 Years,8 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||