Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02762 | Date 31/12/2018 |
| Token No | SM/21-22/8222 29/12/2021 | Serial | 005 Last Visit: 29/10/2025 |
| Patient Name | Mr. PIYAS PROTIM DEY | Contact No | 9330956055 |
| Address | 78 A A P GHOSH ROAD | Age | 21 Years,6 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||