Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08816 | Date 05/10/2020 |
| Token No | SM/21-22/5708 04/10/2021 | Serial | 029 Last Visit: 21/08/2024 |
| Patient Name | Mr. SAMIR MONDAL | Contact No | 9051799705 |
| Address | 79/A,A,P, GHOSH ROAD,CHATRA | Age | 58 Years,7 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||