Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09261 | Date 02/03/2021 |
| Token No | SM/20-21/30781 16/03/2021 | Serial | 019 Last Visit: 22/10/2024 |
| Patient Name | Mr. JAYANTA CHAKRABORTY | Contact No | 9609539885 |
| Address | 28 A.P. GHOSH ROAD, CHATRA | Age | 58 Years,9 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||