Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07510 | Date 10/02/2020 |
| Token No | SM/19-20/17864 10/02/2020 | Serial | 040 Last Visit: 27/03/2023 |
| Patient Name | Mr. SANJOYLAL CHAKRABORTY | Contact No | 9836314199 |
| Address | SEORAPHULY,DIP CHAND MATH,BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||