Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01763 | Date 29/10/2018 |
| Token No | SM/18-19/7793 01/02/2019 | Serial | 069 Last Visit: 18/04/2022 |
| Patient Name | Mr. RANJAN DAS | Contact No | 9088432519 |
| Address | 11/A BHATCHARJEE LANE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||