Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12176 | Date 26/06/2023 |
| Token No | SM/24-25/38517 23/10/2024 | Serial | 016 Last Visit: 03/12/2025 |
| Patient Name | Mr. DASANAN CHAKRABORTY | Contact No | 6291202959 |
| Address | 11/D DR. P.N. MUKHERJEE STREET, CHATRA SERAMPORE | Age | 60 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||