Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03160 | Date 24/01/2019 |
| Token No | SM/20-21/30612 12/03/2021 | Serial | 006 Last Visit: 01/09/2025 |
| Patient Name | Mr. ABHRADEEP CHAKRABORTY | Contact No | 9732666913 |
| Address | 17/A CHOWDHURY PARA BYE LANE SERAMPORE | Age | 15 Years,8 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||