Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00525 | Date 17/08/2018 |
| Token No | SM/19-20/5042 22/06/2019 | Serial | 003 Last Visit: 14/12/2021 |
| Patient Name | Mr. ASIM KR CHATTERJEE | Contact No | 9475822214 |
| Address | 10/F, ROY M.C LAHIRI BAHADUR STREET | Age | 65.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||