Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00254 | Date 09/08/2018 |
| Token No | SM/18-19/6927 17/01/2019 | Serial | 007 Last Visit: 21/12/2022 |
| Patient Name | Mr. PANCHANAN GHOSH | Contact No | 9433039598 |
| Address | 14, CHATRA CHAPA TALA LANE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||