Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12040 | Date 19/04/2023 |
| Token No | SM/22-23/21195 19/04/2023 | Serial | 000 Last Visit: 02/09/2025 |
| Patient Name | Mr. SUKUMAR BARDHAN | Contact No | 9163679897 |
| Address | 57 CHATRA BARUI PARA LANE | Age | 72 Years,8 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||