Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03545 | Date 13/02/2019 |
| Token No | SM/20-21/25643 12/09/2020 | Serial | 005 Last Visit: 21/11/2024 |
| Patient Name | Mr. PRADIP KR. PAUL | Contact No | 9804904192 |
| Address | 16A/1 CHATRA BARUI PARA LANE, | Age | 59 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||