Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01883 | Date 03/11/2018 |
| Token No | SM/18-19/3455 05/11/2018 | Serial | 015 Last Visit: 24/12/2022 |
| Patient Name | Mr. ARUP CHAKRABORTY | Contact No | 9330773812 |
| Address | 6 THAKUR DAS BABU LANE GOSAI PARA | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||