Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07111 | Date 09/12/2019 |
| Token No | SM/20-21/27002 31/10/2020 | Serial | 011 Last Visit: 27/05/2023 |
| Patient Name | Mr. SUKUMAR KOLEY | Contact No | 9163881993 |
| Address | 59 MUKHERJEE PARA LANE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||