Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09889 | Date 28/07/2021 |
| Token No | SM/21-22/8006 22/12/2021 | Serial | 026 Last Visit: 18/05/2022 |
| Patient Name | Mr. PARIKSHIT KUNDU | Contact No | 9088547551 |
| Address | 2/C DR. P.N. MUKHERJEE STREET, CHATRA | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||