Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01894 | Date 05/11/2018 |
| Token No | SM/18-19/11562 29/03/2019 | Serial | 070 Last Visit: 09/11/2021 |
| Patient Name | Mr. KOUSTAV CHATTERJEE | Contact No | 9748068816 |
| Address | 1/D DUTTA PARA LANE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||