Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01299 | Date 24/09/2018 |
| Token No | SM/20-21/29954 01/02/2021 | Serial | 018 Last Visit: 24/11/2022 |
| Patient Name | Mr. SUDIP KUNDU | Contact No | 9163088560 |
| Address | 5 CHATRA CHOWDHURI PARA BY LANE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||