Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08050 | Date 09/04/2020 |
| Token No | SM/19-20/20939 09/04/2020 | Serial | 017 Last Visit: 17/09/2024 |
| Patient Name | Mr. MAHADEB MALICK | Contact No | |
| Address | CHATRA DHARMOTALA A.P. GHOSH LANE | Age | 51 Years,8 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||