Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00722 | Date 27/08/2018 |
| Token No | SM/20-21/26329 05/10/2020 | Serial | 065 Last Visit: 05/10/2020 |
| Patient Name | Mr. SHYAMAL RAY | Contact No | |
| Address | 94, N.S AVENUE | Age | 61.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||