Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05493 | Date 20/06/2019 |
| Token No | SM/19-20/16979 21/01/2020 | Serial | 023 Last Visit: 29/04/2021 |
| Patient Name | Mr. GAUTAM SARKAR | Contact No | 9681456590 |
| Address | SIRAMPUR TALPUKAR RAJDHARPUR | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||