Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15129 | Date 17/03/2025 |
| Token No | SM/24-25/43921 17/03/2025 | Serial | 007 Last Visit: 08/12/2025 |
| Patient Name | Mr. SUBRATA DAS | Contact No | 9351673218 |
| Address | CHATRA P N MUKHERJEE STREET SERAMPORE | Age | 45 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 116/66 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||