Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11860 | Date 17/01/2023 |
| Token No | SM/22-23/19795 17/01/2023 | Serial | 031 Last Visit: 17/01/2023 |
| Patient Name | Mr. UJJWAL KUMAR CHOWNI | Contact No | 8617760256 |
| Address | FH4 6 DR.P.N. MUKHERJEE STREET | Age | 38 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||