Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02170 | Date 28/11/2018 |
| Token No | SM/18-19/9244 22/02/2019 | Serial | 021 Last Visit: 05/02/2024 |
| Patient Name | Mr. AJOY KR BAGCHI | Contact No | 9007753630 |
| Address | 13, P.N MUKHERJEE STREET | Age | 66 Years,1 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||