Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09150 | Date 09/01/2021 |
| Token No | SM/20-21/29228 09/01/2021 | Serial | 013 Last Visit: 09/01/2021 |
| Patient Name | Mr. RAKESH PATRA | Contact No | 6290977934 |
| Address | 320/486 G T ROAD CHATRA SERAMPORE BAIDYABATI (M) | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||