Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02990 | Date 14/01/2019 |
| Token No | SM/18-19/6767 14/01/2019 | Serial | 058 Last Visit: 31/01/2025 |
| Patient Name | Mr. PRABIR GHOSH | Contact No | 9051714979 |
| Address | 31A/1 CHOWDHURY PARA BYE LANE, CHATRA | Age | 61 Years,0 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||