Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05187 | Date 21/05/2019 |
| Token No | SM/19-20/20867 07/04/2020 | Serial | 045 Last Visit: 08/01/2022 |
| Patient Name | Mr. AJAY MALIK | Contact No | 9062024232 |
| Address | 56/40,HARIJON ROAD,DAS PARA,BAIDYABATI(M) | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||