Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00464 | Date 16/08/2018 |
| Token No | SM/21-22/2877 06/07/2021 | Serial | 007 Last Visit: 12/04/2022 |
| Patient Name | Mr. SHANTANU DAS | Contact No | 9883119984 |
| Address | 63, A.P. GHOSH ROAD | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||