Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03576 | Date 14/02/2019 |
| Token No | SM/19-20/3972 03/06/2019 | Serial | 095 Last Visit: 10/01/2022 |
| Patient Name | Mr. DIPANKAR PARUI | Contact No | 7003677818 |
| Address | SUDIP CH. RAY LANE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||