Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02524 | Date 14/12/2018 |
| Token No | SM/19-20/25382 03/09/2020 | Serial | 028 Last Visit: 07/07/2025 |
| Patient Name | Mr. RAJIB CHAKRABORTY | Contact No | 9330871503 |
| Address | 41 A.P. GHOSH ROAD,SERAMPORE | Age | 59 Years,3 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||