Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11461 | Date 20/08/2022 |
| Token No | SM/22-23/16927 20/09/2022 | Serial | 021 Last Visit: 20/09/2022 |
| Patient Name | Mr. JYOTIRMAY CHAKRABORTY | Contact No | 6291027360 |
| Address | 21/A P.N CHAKRABORTY LANE CHATRA SERAMPORE (M) | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||