Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08660 | Date 22/08/2020 |
| Token No | SM/19-20/25053 22/08/2020 | Serial | 022 Last Visit: 19/12/2024 |
| Patient Name | Mr. SHYAMASIS PAUL | Contact No | 9474107361 |
| Address | 4 CHOWDHURY PARA LANE | Age | 61 Years,11 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||