Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06070 | Date 06/08/2019 |
| Token No | SM/19-20/8477 16/08/2019 | Serial | 060 Last Visit: 31/01/2023 |
| Patient Name | Mr. JAYANTA CHOWDHURY | Contact No | 8697547156 |
| Address | 23/B CHATRA CHOWDHURY PARA BEY LANE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||