Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02919 | Date 09/01/2019 |
| Token No | SM/19-20/17583 04/02/2020 | Serial | 020 Last Visit: 05/04/2023 |
| Patient Name | Mr. PRASANTA CHOWDHURY | Contact No | 8697547156 |
| Address | 23B CHATRA CHOWDHURY PARA DOLTALA | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||