Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02335 | Date 04/12/2018 |
| Token No | SM/22-23/20071 28/01/2023 | Serial | 019 Last Visit: 28/01/2023 |
| Patient Name | Mr. SUBHAMOY DAS | Contact No | 8420987856 |
| Address | 7 NO CHATRA SIDDHESWARI LANE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 162.3 cm BMI: 24.676088 |
| Diagnosis | |||