Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11988 | Date 18/03/2023 |
| Token No | SM/22-23/20903 28/03/2023 | Serial | 020 Last Visit: 28/03/2023 |
| Patient Name | Mr. RAMESH SAMANTA | Contact No | 9163619192 |
| Address | 101 NETAJI SUBHASH AVENUE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37.5 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 14.288980 |
| Diagnosis | |||