Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03809 | Date 22/02/2019 |
| Token No | SM/18-19/10693 16/03/2019 | Serial | 075 Last Visit: 18/05/2022 |
| Patient Name | Mr. GOPAL MAITY | Contact No | 9339444474 |
| Address | SACHTASI PARA LANE , BAIDYABATI (M) | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||