Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10455 | Date 24/12/2021 |
| Token No | SM/21-22/8108 24/12/2021 | Serial | 041 Last Visit: 05/08/2025 |
| Patient Name | Mr. UTPAL CHAKRABORTY | Contact No | 9433502733 |
| Address | 24/D AUDDY LANE | Age | 50 Years,7 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||