Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12802 | Date 06/12/2023 |
| Token No | SM/25-26/6227 18/09/2025 | Serial | 001 Last Visit: 05/11/2025 |
| Patient Name | Mr. JAYDEB CHAKRABORTY | Contact No | 9735695082 |
| Address | P N MUKHERJEE STREET CHATRA | Age | 56 Years,11 Months,14 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 133/86 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||