Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06629 | Date 14/10/2019 |
| Token No | SM/19-20/21745 30/04/2020 | Serial | 029 Last Visit: 21/12/2022 |
| Patient Name | Mr. RABINDRA NATH DUTTA | Contact No | 7278925974 |
| Address | PAHALAMPUR,SHIGUR, | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||