Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01365 | Date 27/09/2018 |
| Token No | SM/19-20/7505 29/07/2019 | Serial | 041 Last Visit: 23/11/2022 |
| Patient Name | Mr. SAROJ CHOWDHURY | Contact No | 8017535446 |
| Address | 20, CHATRA CHOWDHURY PARA BY LANE | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||