Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09127 | Date 05/01/2021 |
| Token No | SM/20-21/29533 19/01/2021 | Serial | 027 Last Visit: 01/08/2022 |
| Patient Name | Mr. PRADIP DEY | Contact No | 9831754471 |
| Address | PAHALAMPUR, SINGUR | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||