Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02902 | Date 08/01/2019 |
| Token No | SM/18-19/6494 08/01/2019 | Serial | 048 Last Visit: 03/11/2022 |
| Patient Name | Mr. SHUVANKAR GHOSH | Contact No | 9804778112 |
| Address | CHATRA DUTTA PARA | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||