Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07828 | Date 17/03/2020 |
| Token No | SM/19-20/20099 21/03/2020 | Serial | 055 Last Visit: 12/09/2023 |
| Patient Name | Mr. SHRIKANTA DUTTA | Contact No | 8184053789 |
| Address | BARO BELU ,BELUMILKI | Age | 60 Years,8 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||