Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01556 | Date 06/10/2018 |
| Token No | SM/18-19/6122 02/01/2019 | Serial | 031 Last Visit: 06/04/2023 |
| Patient Name | Mr. TANAY SAMANTA | Contact No | 9874325603 |
| Address | CHATRA MUKHERJEE PARA | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||