Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08400 | Date 21/06/2020 |
| Token No | SM/22-23/19542 07/01/2023 | Serial | 037 Last Visit: 08/09/2025 |
| Patient Name | Mr. ARDHENDU KUMAR DAS | Contact No | 9874303715 |
| Address | 33 DHARMATALA LANE CHATRA SERAMPORE | Age | 75 Years,8 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||