Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08255 | Date 14/05/2020 |
| Token No | SM/19-20/22231 14/05/2020 | Serial | 015 Last Visit: 02/11/2021 |
| Patient Name | Mr. KARTTIK DAS | Contact No | 8335023622 |
| Address | 8 MUSALMAN PARA ROAD | Age | 39 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||