Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06607 | Date 12/10/2019 |
| Token No | SM/19-20/11590 12/10/2019 | Serial | 005 Last Visit: 21/11/2022 |
| Patient Name | Mr. ANUP DUTTA | Contact No | 9903642705 |
| Address | 39 CHATRA DUTTA PARA SERAMPORE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||