Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02211 | Date 29/11/2018 |
| Token No | SM/18-19/6696 11/01/2019 | Serial | 053 Last Visit: 04/07/2024 |
| Patient Name | Mr. NARAYAN MONDAL | Contact No | 8820990832 |
| Address | CHATRA DHARMOTALA | Age | 62 Years,6 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||