Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06266 | Date 29/08/2019 |
| Token No | SM/19-20/19551 13/03/2020 | Serial | 025 Last Visit: 08/01/2021 |
| Patient Name | Mr. SUBHANAR CHATTERJEE | Contact No | 9163804084 |
| Address | 18 CHATRA CHOWDHURI PARA LANE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||