Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05748 | Date 13/07/2019 |
| Token No | SM/19-20/12564 01/11/2019 | Serial | 011 Last Visit: 27/09/2022 |
| Patient Name | Mr. TARAK MONDAL | Contact No | 9038547654 |
| Address | 22 CHAKRABORTY LANE, | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||