Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00393 | Date 13/08/2018 |
| Token No | SM/22-23/24932 05/10/2023 | Serial | 003 Last Visit: 29/11/2024 |
| Patient Name | Mr. KRISHANU SOM | Contact No | 8777714668 |
| Address | 123A, BARUIPARA LANE | Age | 27 Years,10 Months,27 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||