Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00888 | Date 04/09/2018 |
| Token No | SM/19-20/13252 14/11/2019 | Serial | 079 Last Visit: 10/07/2023 |
| Patient Name | Mr. RAMEN CHATERJEE | Contact No | 8100129901 |
| Address | 22/B DOLTALA CHATRA | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||