Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00449 | Date 14/08/2018 |
| Token No | SM/19-20/8189 08/08/2019 | Serial | 054 Last Visit: 09/10/2021 |
| Patient Name | Mr. PULAK DUTTA | Contact No | 7890282596 |
| Address | 32C, DUTTA PARA LANE, CHATRA SERAMPORE | Age | 51.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||