Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03168 | Date 24/01/2019 |
| Token No | SM/19-20/16704 14/01/2020 | Serial | 033 Last Visit: 18/12/2025 |
| Patient Name | Mr. PRADIP KUMAR CHATERJEE | Contact No | 8910403738 |
| Address | 8E DR BAGAN LANE SERAMPORE | Age | 74 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||