Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14446 | Date 23/10/2024 |
| Token No | SM/25-26/726 24/04/2025 | Serial | 008 Last Visit: 27/11/2025 |
| Patient Name | Mr. BANIBRATA PAUL | Contact No | 6290732493 |
| Address | 11 A K DUTTA SARANI CHATRA SERAMPORE | Age | 69 Years,10 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||