Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10818 | Date 21/03/2022 |
| Token No | SM/21-22/10921 21/03/2022 | Serial | 034 Last Visit: 21/03/2022 |
| Patient Name | Mr. SAUMITRA KR.BANDYOPADHYAY | Contact No | 6290349974 |
| Address | A.P. GHOSH ROAD | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||