Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05793 | Date 16/07/2019 |
| Token No | SM/20-21/30687 13/03/2021 | Serial | 026 Last Visit: 06/09/2022 |
| Patient Name | Mr. GOBINDA LAL GUHO | Contact No | 9674984703 |
| Address | 8 CHATRA CHOWDHURI PARA | Age | 57YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||