Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00117 | Date 04/08/2018 |
| Token No | SM/19-20/11467 01/10/2019 | Serial | 085 Last Visit: 08/12/2025 |
| Patient Name | Mr. KARTIK DUTTA | Contact No | 9674434465 |
| Address | 80, CHATRA BARUI PARA LANE | Age | 61 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||