Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12621 | Date 13/10/2023 |
| Token No | SM/22-23/25321 13/10/2023 | Serial | 014 Last Visit: 30/04/2025 |
| Patient Name | Mr. SWAPAN CHATTERJEE | Contact No | 9432436321 |
| Address | GOPALPUR, AKUNI, HOOGHLY | Age | 71 Years,3 Months,27 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||