Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09953 | Date 17/08/2021 |
| Token No | SM/21-22/4945 10/09/2021 | Serial | 001 Last Visit: 08/11/2025 |
| Patient Name | Mr. MALAY CHAKRABORTY | Contact No | 9088442382 |
| Address | 4,GHOSHAL PARA NABAGRAM BAIDHYABATI | Age | 68 Years,10 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||