Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00449 | Date 14/08/2018 |
| Token No | SM/18-19/6523 09/01/2019 | Serial | 012 Last Visit: 09/10/2021 |
| Patient Name | Mr. PULAK DUTTA | Contact No | 7890282596 |
| Address | 32C, DUTTA PARA LANE, CHATRA SERAMPORE | Age | 51.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||