Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06522 | Date 24/09/2019 |
| Token No | SM/20-21/26904 21/10/2020 | Serial | 034 Last Visit: 21/10/2020 |
| Patient Name | Mr. MADHAB GHOSH | Contact No | 9836195313 |
| Address | 8 BHADURI LANE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||