Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07065 | Date 04/12/2019 |
| Token No | SM/21-22/7647 10/12/2021 | Serial | 010 Last Visit: 20/08/2025 |
| Patient Name | Mr. KALYAN KUMAR MUKHOPADHYAY | Contact No | 9932329831 |
| Address | 5 P.N MUKHERJEE STREET SERAMPORE | Age | 72 Years,7 Months,17 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||