Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04457 | Date 29/03/2019 |
| Token No | SM/19-20/3636 29/05/2019 | Serial | 003 Last Visit: 28/01/2022 |
| Patient Name | Mr. KRISHNA CHAKRABORTY | Contact No | 9830199486 |
| Address | 166 N.S ROAD, BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||