Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05656 | Date 02/07/2019 |
| Token No | SM/21-22/6923 18/11/2021 | Serial | 010 Last Visit: 04/12/2025 |
| Patient Name | Mr. AJIT KUMAR DE | Contact No | 8017482662 |
| Address | 23 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 74 Years,11 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||