Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00007 | Date 01/08/2018 |
| Token No | SM/19-20/2198 04/05/2019 | Serial | 058 Last Visit: 31/10/2024 |
| Patient Name | Mr. SANAT KUMAR DAS | Contact No | 9874530525 |
| Address | 57/A PATUA PARA LANE | Age | 61 Years,9 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||