Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00619 | Date 21/08/2018 |
| Token No | SM/19-20/9428 29/08/2019 | Serial | 069 Last Visit: 10/08/2023 |
| Patient Name | Mr. SHIBNATH ADHIKARY | Contact No | 9163035692 |
| Address | 14 CHOWDHURY PARA | Age | 50 Years,7 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||