Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04974 | Date 30/04/2019 |
| Token No | SM/20-21/27225 06/11/2020 | Serial | 013 Last Visit: 15/03/2023 |
| Patient Name | Mr. SUKUMAR BARMAN | Contact No | 9331721026 |
| Address | 18/E CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||