Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09992 | Date 26/08/2021 |
| Token No | SM/21-22/4819 06/09/2021 | Serial | 051 Last Visit: 24/01/2023 |
| Patient Name | Mr. SASADHAR BANDURI | Contact No | 9874260800 |
| Address | 18/A MUKHERJEE PARA LANE BAIDHYABATI | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||