Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01736 | Date 29/10/2018 |
| Token No | SM/19-20/1365 22/04/2019 | Serial | 080 Last Visit: 05/09/2025 |
| Patient Name | Mr. RAUL GUIN | Contact No | 9903658721 |
| Address | 1/1B CHATRA DUTTA PARA | Age | 23 Years,2 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||