Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00899 | Date 04/09/2018 |
| Token No | SM/24-25/42477 05/02/2025 | Serial | 059 Last Visit: 29/11/2025 |
| Patient Name | Mr. BIBHUPADA SARKAR | Contact No | 9874863723 |
| Address | 2 NO DOCTOR BAGAN LANE SERAMPORE | Age | 59 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||