Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02529 | Date 14/12/2018 |
| Token No | SM/18-19/5244 14/12/2018 | Serial | 033 Last Visit: 07/06/2023 |
| Patient Name | Mr. SOUMEN PAL | Contact No | 9830601696 |
| Address | 15 BAHDURI LANE CHATRA SERAMPORE | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||