Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02809 | Date 03/01/2019 |
| Token No | SM/19-20/13713 21/11/2019 | Serial | 051 Last Visit: 30/01/2023 |
| Patient Name | Mr. MADHUSUDAN NAG | Contact No | 9674364412 |
| Address | 51C A.P GHOSH ROAD | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||