Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01728 | Date 27/10/2018 |
| Token No | SM/21-22/9734 09/02/2022 | Serial | 026 Last Visit: 08/08/2025 |
| Patient Name | Mr. NIKHIL RANJAN ROY | Contact No | 9330416512 |
| Address | 7 CHATRA LEHIRI PARA LANE CHATRA SERAMPORE | Age | 57 Years,2 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||