Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02567 | Date 17/12/2018 |
| Token No | SM/19-20/1366 22/04/2019 | Serial | 081 Last Visit: 17/05/2023 |
| Patient Name | Mr. KAMAL KUMAR CHAKRABORTY | Contact No | 7605875289 |
| Address | 29 K K MUKHERJEE SARANI ,CHATRA SERAMPORE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||