Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04021 | Date 05/03/2019 |
| Token No | SM/25-26/880 29/04/2025 | Serial | 012 Last Visit: 29/04/2025 |
| Patient Name | Mr. KAUSTAV SOM | Contact No | 9836458470 |
| Address | 2/B CHATRA CHOWDHURY PARA SERAMPORE | Age | 45 Years,3 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||