Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12775 | Date 30/11/2023 |
| Token No | SM/22-23/26715 04/12/2023 | Serial | 008 Last Visit: 04/12/2023 |
| Patient Name | Mr. SANJAY CHAKRABORTY | Contact No | 8585068078 |
| Address | 164/1 RAMKRISHNA ROAD BAIDYABATI (M) | Age | 21 Years,7 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||