Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10075 | Date 11/09/2021 |
| Token No | SM/21-22/6500 02/11/2021 | Serial | 015 Last Visit: 12/11/2025 |
| Patient Name | Mr. PRADIP PAL | Contact No | 9674788126 |
| Address | 38,SATCHASHI PARA CHATRA SERAMPORE | Age | 53 Years,10 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||