Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05397 | Date 12/06/2019 |
| Token No | SM/19-20/14891 09/12/2019 | Serial | 001 Last Visit: 21/03/2023 |
| Patient Name | Mr. BISWAJIT DAS | Contact No | 7059586137 |
| Address | 47/31 CHATRA HARIJAN ROAD , BAIDYABATI(M) | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||