Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00549 | Date 18/08/2018 |
| Token No | SM/18-19/5677 22/12/2018 | Serial | 054 Last Visit: 08/02/2025 |
| Patient Name | Mr. AMAL DAS | Contact No | 9088431122 |
| Address | 27B, A.P GHOSH ROAD | Age | 50 Years,1 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||