Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00115 | Date 04/08/2018 |
| Token No | SM/22-23/27033 11/12/2023 | Serial | 037 Last Visit: 04/07/2024 |
| Patient Name | Mr. SAROJ DUTTA | Contact No | |
| Address | 125, CHATARA BARUI PARA LANE | Age | 58 Years,6 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 68 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||