Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10434 | Date 20/12/2021 |
| Token No | SM/21-22/7903 20/12/2021 | Serial | 005 Last Visit: 21/12/2021 |
| Patient Name | Mr. DIBAKAR DUTTA | Contact No | |
| Address | 67/A CHATRA BARUI PARA LANE | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 158.1 cm BMI: 16.002810 |
| Diagnosis | |||