Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06887 | Date 16/11/2019 |
| Token No | SM/20-21/27084 03/11/2020 | Serial | 009 Last Visit: 18/07/2024 |
| Patient Name | Mr. SUKANTA CHATTERJEE | Contact No | 9836855608 |
| Address | 34 CHATRA DUTTA PARA LANE CHATRA SERAMPORE | Age | 31 Years,6 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||