Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02113 | Date 24/11/2018 |
| Token No | SM/18-19/4515 01/12/2018 | Serial | 042 Last Visit: 03/06/2023 |
| Patient Name | Mr. KAMAL KR DAS | Contact No | 9876466735 |
| Address | 4 CHATRA SIDESWARI LANE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||