Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08632 | Date 06/08/2020 |
| Token No | SM/19-20/24775 06/08/2020 | Serial | 050 Last Visit: 08/07/2021 |
| Patient Name | Mr. ABHIJIT DHARA | Contact No | 8648880677 |
| Address | 132 N. S. AVENUE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||