Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07510 | Date 10/02/2020 |
| Token No | SM/20-21/30499 08/03/2021 | Serial | 024 Last Visit: 27/03/2023 |
| Patient Name | Mr. SANJOYLAL CHAKRABORTY | Contact No | 9836314199 |
| Address | SEORAPHULY,DIP CHAND MATH,BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 134/94 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||