Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08069 | Date 13/04/2020 |
| Token No | SM/19-20/21058 13/04/2020 | Serial | 026 Last Visit: 20/05/2022 |
| Patient Name | Mr. SUJAY PATRA | Contact No | 7059334354 |
| Address | PAHALAMPUR, SINGUR | Age | 54 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||