Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09053 | Date 14/12/2020 |
| Token No | SM/22-23/24417 14/09/2023 | Serial | 018 Last Visit: 27/11/2025 |
| Patient Name | Mr. MOLOY DAS | Contact No | 9836653885 |
| Address | 36 BHADURI LANE CHATRA SERAMPORE | Age | 52 Years,10 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||