Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09309 | Date 10/03/2021 |
| Token No | SM/20-21/30605 10/03/2021 | Serial | 043 Last Visit: 10/03/2021 |
| Patient Name | Mr. RAJESH KUMAR MAHATO | Contact No | 9007555681 |
| Address | 55/, SATCHASI PARA LANE, SERAMPORE, BAIDYABATI(M), HOOGHLY, 712204 | Age | 31 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||