Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02335 | Date 04/12/2018 |
| Token No | SM/18-19/4660 04/12/2018 | Serial | 046 Last Visit: 28/01/2023 |
| Patient Name | Mr. SUBHAMOY DAS | Contact No | 8420987856 |
| Address | 7 NO CHATRA SIDDHESWARI LANE | Age | 29 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||