Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03391 | Date 05/02/2019 |
| Token No | SM/19-20/5754 02/07/2019 | Serial | 044 Last Visit: 24/08/2021 |
| Patient Name | Mr. BAPPA MALIK | Contact No | 9903365186 |
| Address | 3/G/1 CHATRA,DUTTA PARA LANE | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||