Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10734 | Date 28/02/2022 |
| Token No | SM/21-22/10341 28/02/2022 | Serial | 047 Last Visit: 28/02/2022 |
| Patient Name | Mr. SRISTIDHAR ROY | Contact No | |
| Address | 90 (36) SATCHASI PARA CHATRA SRIAMPORE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||