Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05438 | Date 14/06/2019 |
| Token No | SM/21-22/8840 11/01/2022 | Serial | 031 Last Visit: 06/12/2022 |
| Patient Name | Mr. PANCHU DAS | Contact No | 9339808508 |
| Address | 47/31 HARIJAN ROAD,BAIDYABATI(M) | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 169 cm BMI: 21.007668 |
| Diagnosis | |||