Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04637 | Date 09/04/2019 |
| Token No | SM/19-20/553 09/04/2019 | Serial | 007 Last Visit: 27/03/2025 |
| Patient Name | Mr. HIRALAL CHATTERJEE | Contact No | 9674357702 |
| Address | 11 JAGA MOHAN LAHIRI LANE SERAMPORE | Age | 75 Years,8 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||