Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04867 | Date 23/04/2019 |
| Token No | SM/19-20/4901 20/06/2019 | Serial | 041 Last Visit: 08/11/2021 |
| Patient Name | Mr. SUBRATA KR MAJHI | Contact No | 8697613076 |
| Address | 59 RAMKRISHNA ROAD , BAIDYABATI(M) | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||