Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09297 | Date 08/03/2021 |
| Token No | SM/20-21/30737 15/03/2021 | Serial | 049 Last Visit: 15/03/2021 |
| Patient Name | Mr. DEBJIT SAHA | Contact No | 6291991002 |
| Address | 84 NEHERUNAGAR KOLONI, | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||