Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15794 | Date 30/07/2025 |
| Token No | SM/25-26/4746 11/08/2025 | Serial | 021 Last Visit: 11/08/2025 |
| Patient Name | Mr. TUSNIK CHAKRABORTY | Contact No | 9907287652 |
| Address | P N MUKHERJEE STREET SERAM[PORE | Age | 21 Years,6 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||