Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01898 | Date 05/11/2018 |
| Token No | SM/20-21/26401 07/10/2020 | Serial | 004 Last Visit: 03/12/2025 |
| Patient Name | Mr. PACHKORI BISWAS | Contact No | 9038947672 |
| Address | CHATRA LANKAR BAGAN | Age | 73 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||