Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08679 | Date 28/08/2020 |
| Token No | SM/19-20/25263 28/08/2020 | Serial | 017 Last Visit: 28/08/2023 |
| Patient Name | Mr. CHANDAN BISWAS | Contact No | 9830441257 |
| Address | 8 A.K. DUTTA SARANI | Age | 64 Years,7 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||