Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00349 | Date 11/08/2018 |
| Token No | SM/20-21/26391 06/10/2020 | Serial | 046 Last Visit: 06/10/2020 |
| Patient Name | Mr. MANASA GHOSH | Contact No | |
| Address | 27, CHAKRABORTY LANE | Age | 74.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||