Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08287 | Date 29/05/2020 |
| Token No | SM/19-20/22635 01/06/2020 | Serial | 024 Last Visit: 05/04/2024 |
| Patient Name | Mr. MANORANJAN CHAKRABORTY | Contact No | 9804366986 |
| Address | 13/C THAKUR DAS BABU LANE SERAMPORE | Age | 74 Years,7 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||