Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05303 | Date 30/05/2019 |
| Token No | SM/19-20/16155 03/01/2020 | Serial | 004 Last Visit: 06/07/2021 |
| Patient Name | Mr. PASENJIT MAITY | Contact No | 8017284797 |
| Address | RAMKRISHNA ROAD | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||