Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01804 | Date 31/10/2018 |
| Token No | SM/18-19/3237 31/10/2018 | Serial | 041 Last Visit: 01/06/2024 |
| Patient Name | Mr. TAPAN DUTTA | Contact No | 8697354044 |
| Address | 67 B CHATRA BARUI PARA | Age | 65 Years,5 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||