Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01340 | Date 26/09/2018 |
| Token No | SM/22-23/16883 19/09/2022 | Serial | 033 Last Visit: 22/11/2022 |
| Patient Name | Mr. PRADYUT CHAKRABORTY | Contact No | 8697264668 |
| Address | 38/A CHATRA CHAKRABORTY LANE SERAMPORE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||