Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09272 | Date 03/03/2021 |
| Token No | SM/20-21/30306 03/03/2021 | Serial | 015 Last Visit: 03/03/2021 |
| Patient Name | Mr. RABI BISWAS | Contact No | 8336017395 |
| Address | 23 ROY GHAT LANE | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||