Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02371 | Date 06/12/2018 |
| Token No | SM/18-19/5608 21/12/2018 | Serial | 058 Last Visit: 10/11/2022 |
| Patient Name | Mr. ARUP KUMAR DAS | Contact No | 7044016626 |
| Address | 7, CHATRA DUTTA PARA LANE SERAMPORE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||