Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01236 | Date 20/09/2018 |
| Token No | SM/19-20/16964 21/01/2020 | Serial | 008 Last Visit: 07/10/2025 |
| Patient Name | Mr. AMAR KR. GUIN | Contact No | 7278172330 |
| Address | 90/1 CHATRA BARUI PARA LANE | Age | 68 Years,9 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||