Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15862 | Date 07/08/2025 |
| Token No | SM/25-26/4640 07/08/2025 | Serial | 044 Last Visit: 07/08/2025 |
| Patient Name | Mr. SHAPTARSHI CHAKRABORTY | Contact No | 7439405033 |
| Address | AGNISHA-3, FLAT NO.2, 6 DR P N MUKHERJEE STREET CHATRA SERAMPORE | Age | 18 Years,8 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.1 KG |
| Pulse Rate | / min | Height | 172 cm BMI: 17.948891 |
| Diagnosis | |||