Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02260 | Date 01/12/2018 |
| Token No | SM/18-19/4485 01/12/2018 | Serial | 012 Last Visit: 04/11/2022 |
| Patient Name | Mr. ARINDAM DEY | Contact No | 9674234610 |
| Address | 9 A.K. DUTTA SARANI | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||