Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00236 | Date 08/08/2018 |
| Token No | SM/20-21/30899 19/03/2021 | Serial | 008 Last Visit: 06/06/2025 |
| Patient Name | Mr. RAJKUMAR CHATTERJEE | Contact No | 9831996521 |
| Address | 18 CHOWDHURY PARA LANE, CHATRA SERAMPORE | Age | 41 Years,5 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||