Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02460 | Date 11/12/2018 |
| Token No | SM/20-21/26153 30/09/2020 | Serial | 007 Last Visit: 20/08/2025 |
| Patient Name | Mr. CHANDAN CHAKRABORTY | Contact No | 7278213464 |
| Address | 2NO CHAMPATALA LANE | Age | 60 Years,7 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||