Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09043 | Date 11/12/2020 |
| Token No | SM/20-21/28326 11/12/2020 | Serial | 023 Last Visit: 24/12/2020 |
| Patient Name | Mr. JOYDEB MOURI | Contact No | 8337081592 |
| Address | RAMCHANDRA PUR PAHALAMPUR | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||