Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02939 | Date 10/01/2019 |
| Token No | SM/20-21/27506 12/11/2020 | Serial | 012 Last Visit: 02/02/2022 |
| Patient Name | Mr. JAGBANDHU PAL | Contact No | 8697558842 |
| Address | 1 CHATRA GHOSH PARA | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||