Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06082 | Date 07/08/2019 |
| Token No | SM/19-20/15067 11/12/2019 | Serial | 046 Last Visit: 26/03/2022 |
| Patient Name | Mr. GURUPADA BAIRAGI | Contact No | 9903268518 |
| Address | 46/ A PATUA PARA SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||