Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11497 | Date 29/08/2022 |
| Token No | SM/22-23/16116 29/08/2022 | Serial | 031 Last Visit: 17/10/2023 |
| Patient Name | Mr. DIPU MONDAL | Contact No | 6289703899 |
| Address | 11PATI PARA ,BAIDYABATI(M) | Age | 20 Years,9 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 701 PA KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||