Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09318 | Date 15/03/2021 |
| Token No | SM/20-21/30710 15/03/2021 | Serial | 022 Last Visit: 17/03/2021 |
| Patient Name | Mr. ASHIS BANERJEE | Contact No | 9836196376 |
| Address | 16 K.K. MUKHERJEE SARANI,CHATRA | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||