Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00738 | Date 27/08/2018 |
| Token No | SM/18-19/6261 04/01/2019 | Serial | 046 Last Visit: 27/04/2021 |
| Patient Name | Mr. AJIT KUMAR ADHIKARY | Contact No | 8481803265 |
| Address | 13/B CHATRA CHOWDHURY PARA | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||