Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06229 | Date 27/08/2019 |
| Token No | SM/21-22/9453 29/01/2022 | Serial | 021 Last Visit: 29/01/2022 |
| Patient Name | Mr. AMIYA NATH CHAKRABORTY | Contact No | 9874276402 |
| Address | 11/C DUTTAS LANE CHATRA SERAMPORE | Age | 52YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||