Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09178 | Date 15/01/2021 |
| Token No | SM/20-21/29416 15/01/2021 | Serial | 049 Last Visit: 27/05/2022 |
| Patient Name | Mr. LAKHAN SINGH | Contact No | 9903265648 |
| Address | B B GHOSH ROAD HARIJAN QUARTER NEW BUILDING | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||