Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07400 | Date 22/01/2020 |
| Token No | SM/19-20/17054 22/01/2020 | Serial | 035 Last Visit: 25/04/2025 |
| Patient Name | Mr. SWAPAN CHATTERJEE | Contact No | 9748869924 |
| Address | 141 B CHOWDHURY PARA BYE LANE CHATRA | Age | 61 Years,3 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||