Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02621 | Date 21/12/2018 |
| Token No | SM/21-22/4427 26/08/2021 | Serial | 011 Last Visit: 20/09/2025 |
| Patient Name | Mr. INDRAJIT CHAKRABORTY | Contact No | 9432157179 |
| Address | 38 A P GHOSH ROAD,CHATRA | Age | 49 Years,8 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||