Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03995 | Date 05/03/2019 |
| Token No | SM/19-20/3236 22/05/2019 | Serial | 077 Last Visit: 03/11/2021 |
| Patient Name | Mr. SUBIR BAG | Contact No | 9163331232 |
| Address | 13/B CHATRA CHOWDHURY PARA | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||