Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00352 | Date 11/08/2018 |
| Token No | SM/18-19/3331 02/11/2018 | Serial | 015 Last Visit: 07/12/2022 |
| Patient Name | Mr. SITAL KAR | Contact No | 9230479962 |
| Address | 8, CHATRA LAHIRI PARA LANE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||