Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12794 | Date 05/12/2023 |
| Token No | SM/24-25/38230 15/10/2024 | Serial | 029 Last Visit: 18/10/2024 |
| Patient Name | Mr. ASHIS CHAKRABORTY | Contact No | 9073473709 |
| Address | 16/A KHATIR BAZAR LANE SERAMPORE | Age | 51 Years,3 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||