Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00352 | Date 11/08/2018 |
| Token No | SM/19-20/2638 13/05/2019 | Serial | 049 Last Visit: 07/12/2022 |
| Patient Name | Mr. SITAL KAR | Contact No | 9230479962 |
| Address | 8, CHATRA LAHIRI PARA LANE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||