Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08138 | Date 23/04/2020 |
| Token No | SM/19-20/22174 12/05/2020 | Serial | 028 Last Visit: 01/12/2023 |
| Patient Name | Mr. SWAPAN CHAKRABORTY | Contact No | 9231917026 |
| Address | 91 N.S. AVENUE | Age | 62 Years,11 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||