Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02048 | Date 20/11/2018 |
| Token No | SM/18-19/3941 20/11/2018 | Serial | 019 Last Visit: 15/05/2024 |
| Patient Name | Mr. ASHISH DUTTA | Contact No | 9653488691 |
| Address | 33/1 CHATRA DUTTA PARA | Age | 61 Years,4 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||