Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11956 | Date 06/03/2023 |
| Token No | SM/22-23/20461 06/03/2023 | Serial | 033 Last Visit: 06/03/2023 |
| Patient Name | Mr. BASUDEB MONDAL | Contact No | 8334884869 |
| Address | 5/C LAHIRI PARA LANE | Age | 78 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||