Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10105 | Date 21/09/2021 |
| Token No | SM/21-22/5839 07/10/2021 | Serial | 022 Last Visit: 26/03/2025 |
| Patient Name | Mr. ASHOKE ADHIKARY | Contact No | 7044148205 |
| Address | 13/1 CHOWDHURY PARA LANE SERAMPORE | Age | 80 Years,2 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||