Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09281 | Date 05/03/2021 |
| Token No | SM/20-21/30394 05/03/2021 | Serial | 016 Last Visit: 05/03/2021 |
| Patient Name | Mr. BHOLA DAS | Contact No | 8981057488 |
| Address | KUMAR BAGAN ,BAIDYABATI(M) | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||