Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00169 | Date 06/08/2018 |
| Token No | SM/18-19/9976 06/03/2019 | Serial | 066 Last Visit: 14/08/2021 |
| Patient Name | Mr. SANTANU BAG | Contact No | 6289986236 |
| Address | 11/A CHATRA DUTTA PARA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||