Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10581 | Date 18/01/2022 |
| Token No | SM/21-22/9675 08/02/2022 | Serial | 031 Last Visit: 17/12/2025 |
| Patient Name | Mr. AMAR SAMANTA | Contact No | 9051291238 |
| Address | 65,(20) MUKHERJEE PARA , BAIDYABATI(M) | Age | 70 Years,0 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||