Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01937 | Date 12/11/2018 |
| Token No | SM/18-19/8524 12/02/2019 | Serial | 128 Last Visit: 04/04/2025 |
| Patient Name | Mr. RAJKUMAR CHAKRABORTY | Contact No | 6290520299 |
| Address | 11 P N MUKHERJEE STREET | Age | 53 Years,3 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||