Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08933 | Date 05/11/2020 |
| Token No | SM/20-21/28733 24/12/2020 | Serial | 016 Last Visit: 07/04/2021 |
| Patient Name | Mr. NILMANI DUTTA | Contact No | 9831179282 |
| Address | 79 CHTARA GODAR BAGAN , BAIDYABATI(M) | Age | 76 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||