Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06092 | Date 09/08/2019 |
| Token No | SM/24-25/40077 29/11/2024 | Serial | 028 Last Visit: 28/11/2025 |
| Patient Name | Mr. KUMARESH DUTTA | Contact No | 8017449312 |
| Address | 54 CHATRA BARUI PARA LANE CHATRA SERAMPORE | Age | 55 Years,10 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||