Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05163 | Date 20/05/2019 |
| Token No | SM/24-25/42730 10/02/2025 | Serial | 030 Last Visit: 10/02/2025 |
| Patient Name | Mr. BISHWARUP CHAKRABORTY | Contact No | 9903873987 |
| Address | 11 DR P.N MUKHERJEE STREET CHATRA | Age | 24 Years,2 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||