Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 04987 | Date 30/04/2019 |
| Token No | SM/19-20/12820 06/11/2019 | Serial | 073 Last Visit: 14/01/2023 |
| Patient Name | Mr. RANJAN CHAKRABORTY | Contact No | 9830745463 |
| Address | 298 , PIYARPUR J.K SARKAR ROAD, BAIDYABATI(M) | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||