Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02832 | Date 04/01/2019 |
| Token No | SM/18-19/6527 09/01/2019 | Serial | 016 Last Visit: 05/10/2021 |
| Patient Name | Mr. UTAAM KUMAR DEY | Contact No | 9875254097 |
| Address | CHATRA CHOWDHURY PARA | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||