Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07958 | Date 30/03/2020 |
| Token No | SM/20-21/29869 28/01/2021 | Serial | 048 Last Visit: 28/01/2021 |
| Patient Name | Mr. GOURAV PRAMANIK | Contact No | 9123710797 |
| Address | 76 CHATRA BARUIPARA LANE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||