Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00064 | Date 02/08/2018 |
| Token No | SM/18-19/64 02/08/2018 | Serial | 030 Last Visit: 25/04/2023 |
| Patient Name | Mr. SWAPAN KUMAR KUNDU | Contact No | 7890011502 |
| Address | 32/A CHATRA CHOUDHRY PARA/ LANE | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||