Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03630 | Date 18/02/2019 |
| Token No | SM/18-19/8843 18/02/2019 | Serial | 016 Last Visit: 14/02/2025 |
| Patient Name | Mr. PANCHANAN CHATERJEE | Contact No | 9836024500 |
| Address | CHATRA CHOWDHURY PARA / LANE DOLATALA | Age | 60 Years,1 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||