Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10778 | Date 11/03/2022 |
| Token No | SM/21-22/10678 11/03/2022 | Serial | 031 Last Visit: 11/03/2022 |
| Patient Name | Mr. AJIT CHAKRABORTY | Contact No | 9339164205 |
| Address | 5 HARI PARA LANE MALLICKPARA | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.7 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 21.223899 |
| Diagnosis | |||