Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09456 | Date 09/04/2021 |
| Token No | SM/22-23/24948 05/10/2023 | Serial | 019 Last Visit: 27/09/2025 |
| Patient Name | Mr. MAINAK DAS | Contact No | 9836653885 |
| Address | 36 BHADURI LANE CHATRA SERAMPORE | Age | 26 Years,8 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||