Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06723 | Date 22/10/2019 |
| Token No | SM/22-23/21182 18/04/2023 | Serial | 009 Last Visit: 16/06/2025 |
| Patient Name | Mr. HARI KRISHNA THAKUR | Contact No | 9831310175 |
| Address | 13 DR P.N MUKHERJEE STREET 3RD FR FL-3F SERAMPORE(M) | Age | 49 Years,5 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||