Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01735 | Date 29/10/2018 |
| Token No | SM/21-22/5299 21/09/2021 | Serial | 026 Last Visit: 24/04/2025 |
| Patient Name | Mr. RAJ KUMAR CHAKRABORTY | Contact No | 9883443146 |
| Address | 4, ROY GHAT LANE | Age | 42 Years,3 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||