Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10852 | Date 31/03/2022 |
| Token No | SM/21-22/11210 31/03/2022 | Serial | 003 Last Visit: 16/09/2022 |
| Patient Name | Mr. ARUP DAS | Contact No | |
| Address | DIYARA,HOOGHLY | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||