Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06410 | Date 14/09/2019 |
| Token No | SM/19-20/11579 11/10/2019 | Serial | 027 Last Visit: 21/07/2022 |
| Patient Name | Mr. BISWAJIT DHARA | Contact No | 7890628121 |
| Address | 49/A DAKSHIN BHATTACHARIYA PARA, BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||