Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10501 | Date 05/01/2022 |
| Token No | SM/21-22/8845 11/01/2022 | Serial | 036 Last Visit: 20/02/2024 |
| Patient Name | Mr. RAJDEEP CHAKRABARTI | Contact No | 7439679270 |
| Address | 6,P.N CHAKRABARTY LANE CHATRA SERAMPORE | Age | 18 Years,8 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||