Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09405 | Date 30/03/2021 |
| Token No | SM/20-21/31290 30/03/2021 | Serial | 017 Last Visit: 30/03/2021 |
| Patient Name | Mr. TAMAL ROY | Contact No | 8777609879 |
| Address | CHATRA ,LONGHKER BAGAN ,BAIDHYABATI | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||