Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00926 | Date 05/09/2018 |
| Token No | SM/18-19/1251 05/09/2018 | Serial | 027 Last Visit: 28/12/2021 |
| Patient Name | Mr. HARADHAN GUIN | Contact No | 9836709326 |
| Address | 17 CHATRA DUTTA PARA LANE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 111/74 mmHg | Weight | 70 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||