Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05526 | Date 22/06/2019 |
| Token No | SM/19-20/5107 22/06/2019 | Serial | 068 Last Visit: 30/05/2022 |
| Patient Name | Mr. TAPAS KUNDU | Contact No | 9051105781 |
| Address | 62/C, G.T ROAD MARDAN NABAGRAM ,BAIDYABATI (M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||