Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08259 | Date 15/05/2020 |
| Token No | SM/21-22/2182 12/06/2021 | Serial | 004 Last Visit: 16/04/2024 |
| Patient Name | Mr. SWAPAN KUMAR DUTTA | Contact No | 9163489649 |
| Address | 93/C BARUIPARA LANE | Age | 57 Years,3 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||