Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09053 | Date 14/12/2020 |
| Token No | SM/24-25/36552 28/08/2024 | Serial | 019 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 | 63.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||