Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05888 | Date 22/07/2019 |
| Token No | SM/21-22/8997 17/01/2022 | Serial | 013 Last Visit: 25/02/2022 |
| Patient Name | Mr. NETAI CHAKRABORTY | Contact No | 9674438023 |
| Address | 38 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||