Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07945 | Date 27/03/2020 |
| Token No | SM/21-22/7165 25/11/2021 | Serial | 029 Last Visit: 31/05/2023 |
| Patient Name | Mr. SUBHANKAR SOM | Contact No | 9830168414 |
| Address | 17/A DUTTA LANE,CHATRA | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||