Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00569 | Date 20/08/2018 |
| Token No | SM/19-20/9407 29/08/2019 | Serial | 048 Last Visit: 22/12/2022 |
| Patient Name | Mr. CHANDRA NATH MAJUMDAR | Contact No | 9903135519 |
| Address | 4, CHOWDHARY PARA LANE | Age | 87 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||