Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12030 | Date 10/04/2023 |
| Token No | SM/22-23/21064 10/04/2023 | Serial | 011 Last Visit: 18/12/2025 |
| Patient Name | Mr. ARINDAM CHAKRABORTY | Contact No | 9732666913 |
| Address | 17/A CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 49 Years,1 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||