Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03060 | Date 18/01/2019 |
| Token No | SM/21-22/9472 31/01/2022 | Serial | 005 Last Visit: 22/07/2022 |
| Patient Name | Mr. SHAKTIPADA KUNDU | Contact No | 8670064760 |
| Address | 58/1LANKAR BAGAN CHATRA ,BAIDYABATI(M) | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||