Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09235 | Date 01/02/2021 |
| Token No | SM/20-21/29964 01/02/2021 | Serial | 028 Last Visit: 01/02/2021 |
| Patient Name | Mr. SUDIPTA PAUL | Contact No | 9804866948 |
| Address | 60/7 G. T. SHEORAPHULI,BAIDYABATI(M) | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||