Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03632 | Date 18/02/2019 |
| Token No | SM/24-25/31671 23/04/2024 | Serial | 026 Last Visit: 16/10/2025 |
| Patient Name | Mr. SUJIT ROY | Contact No | |
| Address | A.P GHOSH ROAD | Age | 62 Years,9 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||