Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08062 | Date 11/04/2020 |
| Token No | SM/19-20/24063 13/07/2020 | Serial | 033 Last Visit: 27/09/2025 |
| Patient Name | Mr. ASHOK DALAL | Contact No | 9831258479 |
| Address | 82 CHATRA BARUIPARA LANE | Age | 60 Years,8 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||