Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07494 | Date 07/02/2020 |
| Token No | SM/19-20/17916 12/02/2020 | Serial | 026 Last Visit: 01/09/2022 |
| Patient Name | Mr. SANAT KR. KOLEY | Contact No | 9331072693 |
| Address | 14 THAKUR DAS BABU LANE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||