Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01012 | Date 10/09/2018 |
| Token No | SM/19-20/10728 20/09/2019 | Serial | 019 Last Visit: 29/05/2021 |
| Patient Name | Mr. BHUDEB SOM | Contact No | 9830716993 |
| Address | 17/D CHATRA DUTTA PARA | Age | 57.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||