Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06198 | Date 22/08/2019 |
| Token No | SM/19-20/8969 22/08/2019 | Serial | 034 Last Visit: 30/07/2024 |
| Patient Name | Mr. SADANANDA DAS | Contact No | 9163706047 |
| Address | 31 DHARMOTALA LANE CHATRA SERAMPORE | Age | 64 Years,6 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||