Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01672 | Date 26/10/2018 |
| Token No | SM/19-20/3880 03/06/2019 | Serial | 003 Last Visit: 03/12/2025 |
| Patient Name | Mr. MAHADEB CHAKRABORTY | Contact No | 9830704638 |
| Address | 11 DR. P N MUKHERJEE STREET | Age | 82 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||