Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03731 | Date 20/02/2019 |
| Token No | SM/19-20/23938 09/07/2020 | Serial | 029 Last Visit: 10/11/2025 |
| Patient Name | Mr. TAPAN CHAKRABARTY | Contact No | 9836145811 |
| Address | 64 TELIPARA CHATRA BAIDYABATI(M) | Age | 69 Years,10 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||