Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02317 | Date 03/12/2018 |
| Token No | SM/18-19/7193 21/01/2019 | Serial | 061 Last Visit: 16/02/2022 |
| Patient Name | Mr. PRASANTA DAS | Contact No | 9674256958 |
| Address | 26 CHATRA DHARMA TALA | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||