Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00399 | Date 13/08/2018 |
| Token No | SM/19-20/13647 20/11/2019 | Serial | 056 Last Visit: 11/10/2023 |
| Patient Name | Mr. BIKASH PARUI | Contact No | 8981587064 |
| Address | 5, SUDHIR CH ROY LANE | Age | 40 Years,9 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||