Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01356 | Date 26/09/2018 |
| Token No | SM/18-19/2101 26/09/2018 | Serial | 030 Last Visit: 08/11/2021 |
| Patient Name | Mr. SHANTANU GOANI | Contact No | 6290836143 |
| Address | CHANDANNAGAR | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||