Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07975 | Date 30/03/2020 |
| Token No | SM/20-21/29968 01/02/2021 | Serial | 032 Last Visit: 11/07/2024 |
| Patient Name | Mr. HARIPADA GUIN | Contact No | 9874443077 |
| Address | 17/A DUTTA PARA LANE | Age | 52 Years,3 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||