Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01235 | Date 20/09/2018 |
| Token No | SM/19-20/5474 27/06/2019 | Serial | 057 Last Visit: 20/09/2022 |
| Patient Name | Mr. ARINDAM GUIN | Contact No | 7278172330 |
| Address | 90/1 CHATRA BARUI PARA LANE | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||