Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09373 | Date 20/03/2021 |
| Token No | SM/20-21/30985 20/03/2021 | Serial | 014 Last Visit: 20/03/2021 |
| Patient Name | Mr. BACHHU DAS | Contact No | 9433234479 |
| Address | 21/1 CHOWDHURY PARA BYE LANE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||