Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09077 | Date 21/12/2020 |
| Token No | SM/20-21/28618 21/12/2020 | Serial | 011 Last Visit: 14/06/2025 |
| Patient Name | Mr. JAYADEB CHATTERJEE | Contact No | 8820714895 |
| Address | 13 CHATRA BAZAR ROAD SERAMPORE | Age | 44 Years,4 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||