Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01226 | Date 19/09/2018 |
| Token No | SM/18-19/3819 16/11/2018 | Serial | 052 Last Visit: 27/10/2023 |
| Patient Name | Mr. UJJWAL DUTTA | Contact No | 7686003350 |
| Address | 28/A CHATRA DUTTA PARA | Age | 47 Years,9 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||