Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09320 | Date 15/03/2021 |
| Token No | SM/20-21/30717 15/03/2021 | Serial | 029 Last Visit: 15/03/2021 |
| Patient Name | Mr. JYOTISH GHOSH | Contact No | 9874330689 |
| Address | 15 ROY GHAT LANE, | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||