Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03711 | Date 20/02/2019 |
| Token No | SM/22-23/11979 25/04/2022 | Serial | 007 Last Visit: 25/04/2022 |
| Patient Name | Mr. SAIKAT ADHIKARY | Contact No | 9836719941 |
| Address | 14 CHOWDHURY PARA LANE | Age | 37 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||