Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06909 | Date 19/11/2019 |
| Token No | SM/22-23/18948 16/12/2022 | Serial | 014 Last Visit: 01/11/2025 |
| Patient Name | Mr. BUDDHADEB DUTTA | Contact No | 8981872068 |
| Address | 33 DUTTA PARA LANE CHATRA SERAMPORE | Age | 57 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||