Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06859 | Date 14/11/2019 |
| Token No | SM/22-23/24272 09/09/2023 | Serial | 052 Last Visit: 06/12/2025 |
| Patient Name | Mr. JOYDEB MALIK | Contact No | 9231990336 |
| Address | 59 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 70 Years,8 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||