Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00393 | Date 13/08/2018 |
| Token No | SM/19-20/7822 02/08/2019 | Serial | 054 Last Visit: 29/11/2024 |
| Patient Name | Mr. KRISHANU SOM | Contact No | 8777714668 |
| Address | 123A, BARUIPARA LANE | Age | 27 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||