Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08805 | Date 01/10/2020 |
| Token No | SM/20-21/26206 01/10/2020 | Serial | 032 Last Visit: 22/05/2021 |
| Patient Name | Mr. SOMNATH DEY | Contact No | 8910039232 |
| Address | 132 N. S. EVENU, | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||