Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00417 | Date 14/08/2018 |
| Token No | SM/19-20/13507 19/11/2019 | Serial | 004 Last Visit: 20/05/2023 |
| Patient Name | Mr. BHABOTOSH MALLICK | Contact No | 9874948305 |
| Address | 17, P.N. MUKHERJEE STREET | Age | 79.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||