Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01616 | Date 11/10/2018 |
| Token No | SM/20-21/29255 11/01/2021 | Serial | 017 Last Visit: 11/01/2021 |
| Patient Name | Mr. SHYAMAL ADHIKARY | Contact No | 9007638729 |
| Address | 13A, CHATRACHOWDHURY PARA LANE | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||