Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13729 | Date 21/05/2024 |
| Token No | SM/24-25/33735 18/06/2024 | Serial | 005 Last Visit: 11/06/2025 |
| Patient Name | Mr. LAKSHMI KANTA SOM | Contact No | 9123319756 |
| Address | 109 BARUI PARA LANE CHATRA SERAMPORE | Age | 50 Years,3 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 170 cm BMI: 0.000000 |
| Diagnosis | |||