Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13158 | Date 29/01/2024 |
| Token No | SM/25-26/3368 10/07/2025 | Serial | 007 Last Visit: 10/07/2025 |
| Patient Name | Mr. SANJU DUTTA | Contact No | 9681614678 |
| Address | 22 BHAGIRATHI LANE SERAMPORE | Age | 28 Years,6 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||