Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00354 | Date 11/08/2018 |
| Token No | SM/19-20/4461 13/06/2019 | Serial | 016 Last Visit: 06/12/2021 |
| Patient Name | Mr. ANIL KUNDU | Contact No | |
| Address | 60/A, DHARMATALA LANE, CHATRA | Age | 79.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||