Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02393 | Date 07/12/2018 |
| Token No | SM/18-19/4835 07/12/2018 | Serial | 029 Last Visit: 29/11/2025 |
| Patient Name | Mr. MINTU MONDAL | Contact No | 9051799705 |
| Address | 79/A ,A.P.GHOSH ROAD | Age | 51 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||