Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07775 | Date 13/03/2020 |
| Token No | SM/19-20/23789 06/07/2020 | Serial | 031 Last Visit: 19/01/2023 |
| Patient Name | Mr. BIJAN BENERJEE | Contact No | 9874180133 |
| Address | 35/A DHARMA TALA LANE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||