Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04586 | Date 06/04/2019 |
| Token No | SM/20-21/28092 04/12/2020 | Serial | 043 Last Visit: 19/06/2025 |
| Patient Name | Mr. DEBASISH CHOWDHURY | Contact No | 9674346863 |
| Address | 29 CHATRA CHOWDHURY PARA BYE LANE DOLTALA , SERAMPORE | Age | 64 Years,1 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||