Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12190 | Date 01/07/2023 |
| Token No | SM/25-26/3822 19/07/2025 | Serial | 036 Last Visit: 19/07/2025 |
| Patient Name | Mr. SUBHAJIT DUTTA | Contact No | 8444020601 |
| Address | 55 NO CHATRA BARUI PARA LANE SERAMPORE | Age | 24 Years,9 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||