Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01972 | Date 15/11/2018 |
| Token No | SM/18-19/4015 22/11/2018 | Serial | 010 Last Visit: 17/12/2025 |
| Patient Name | Mr. SUKDEB MALLICK | Contact No | 9681065394 |
| Address | 59B CHATRA DHARMA TALA LANE | Age | 72 Years,11 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||