Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01279 | Date 24/09/2018 |
| Token No | SM/19-20/16642 13/01/2020 | Serial | 044 Last Visit: 08/06/2022 |
| Patient Name | Mr. SHILAJIT CHAKRABORTY | Contact No | 9038663643 |
| Address | 24, CHATRA CHOWDHURY PARA LANE, SERAMPORE | Age | 32 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||