Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05419 | Date 13/06/2019 |
| Token No | SM/19-20/14005 26/11/2019 | Serial | 012 Last Visit: 19/06/2024 |
| Patient Name | Mr. KARTIK CH. CHAKRABORTY | Contact No | 9883078020 |
| Address | 6 PN CHAKRABORTY LANE CHATRA SERAMPORE | Age | 79 Years,5 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||