Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00109 | Date 04/08/2018 |
| Token No | SM/19-20/5748 02/07/2019 | Serial | 038 Last Visit: 20/02/2024 |
| Patient Name | Mr. TARUN SOM | Contact No | 9874014889 |
| Address | 17B DUTTAS LANE | Age | 54 Years,10 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||