Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01980 | Date 15/11/2018 |
| Token No | SM/22-23/23669 19/08/2023 | Serial | 005 Last Visit: 12/09/2025 |
| Patient Name | Mr. SHUBHASIS DE | Contact No | 9903794022 |
| Address | 30/A/1DR PN MUKHREJEE STREET, CHATRA SERAMPORE | Age | 60 Years,8 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 119/67 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||