Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09567 | Date 30/04/2021 |
| Token No | SM/21-22/1043 30/04/2021 | Serial | 037 Last Visit: 30/04/2021 |
| Patient Name | Mr. RAJU MAHATO | Contact No | 9163166088 |
| Address | CHOTO BELUR HOOGHLY | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||