Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02415 | Date 08/12/2018 |
| Token No | SM/19-20/7640 30/07/2019 | Serial | 089 Last Visit: 04/08/2022 |
| Patient Name | Mr. JAYNTA KUMAR GOSWAMI | Contact No | 9432932399 |
| Address | 2 BURO BIBI LANE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||