Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10444 | Date 22/12/2021 |
| Token No | SM/21-22/10172 23/02/2022 | Serial | 023 Last Visit: 27/11/2025 |
| Patient Name | Mr. ALOKE CHATTERJEE | Contact No | 9674779805 |
| Address | 14,CHOWDHURY PARA BYE LANED CHATRA SERAMPORE | Age | 63 Years,10 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||