Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10006 | Date 28/08/2021 |
| Token No | SM/21-22/4547 28/08/2021 | Serial | 029 Last Visit: 15/10/2025 |
| Patient Name | Mr. SISIR CHATTERJEE | Contact No | 9330868652 |
| Address | 152/A NEHERU NAGAR COLONY, MAHESH, SERAMPORE | Age | 29 Years,10 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||