Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01693 | Date 26/10/2018 |
| Token No | SM/18-19/10144 08/03/2019 | Serial | 035 Last Visit: 09/07/2025 |
| Patient Name | Mr. RAJDIP BAG | Contact No | 9903588899 |
| Address | 11/A CHATRA DUTTA\\\\\\\'S LANE CHATRA SERAMPORE | Age | 32 Years,6 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||