Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06348 | Date 06/09/2019 |
| Token No | SM/22-23/16812 16/09/2022 | Serial | 039 Last Visit: 28/01/2023 |
| Patient Name | Mr. SOM NATH DUTTA | Contact No | 8583924411 |
| Address | 67 A CHATRA BARUI PARA LANE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||