Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06140 | Date 19/08/2019 |
| Token No | SM/21-22/7185 26/11/2021 | Serial | 006 Last Visit: 29/01/2025 |
| Patient Name | Mr. SWAPAN DUTTA | Contact No | 7044148208 |
| Address | 39 CHATRA DUTTA PARA | Age | 59 Years,0 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||