Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07350 | Date 16/01/2020 |
| Token No | SM/19-20/16765 16/01/2020 | Serial | 044 Last Visit: 20/08/2024 |
| Patient Name | Mr. JAYANTA DAS | Contact No | 9674111566 |
| Address | CHATRA SATCHASI PARA,BAIDYABATI(M) | Age | 53 Years,7 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||