Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02574 | Date 18/12/2018 |
| Token No | SM/20-21/27032 02/11/2020 | Serial | 027 Last Visit: 13/02/2024 |
| Patient Name | Mr. KALIPADA DUTTA | Contact No | 8420548823 |
| Address | 17/B CHAPATALA LANE | Age | 63 Years,1 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||